DAH is a life-threatening disease characterised by the lack of specific treatment and a high mortality of patients requiring mechanical ventilation. Bronchoscopy BAL with increasingly bloody return is the only diagnostic procedure for the diagnosis of DAH, and at times, provides the treatment. Local administration of rFVIIa via the fibrobronchoscope channel was used as an emergency measure in two cases of massive haemoptysis with an excellent hemostatic effect and without adverse effects.