病历摘要患儿男 ,12岁。因反复咳嗽 11年 ,颜面皮疹 8年 ,间断咯血 7个月入院。 11年前患儿因咳嗽伴发热于当地医院按“粟粒性肺结核”进行治疗 ,疗程 2年。 8年前 ,再次出现咳嗽 ,同时发现鼻尖部皮肤发红 ,压之褪色。此后经常出现咳嗽、咯痰 ,偶伴发热。 1年前出现活动后乏力 Summary of medical records Children male, 12 years old. Due to repeated cough for 11 years, face rash 8 years, intermittent hemoptysis admitted to hospital for 7 months. 11 years ago due to cough with fever in children at the local hospital according to “miliary tuberculosis” for treatment, 2-year course of treatment. Eight years ago, cough was seen again, and at the same time the skin of the nose was reddish and the pressure faded. Since then often cough, expectoration, even with fever. A year ago after the onset of fatigue