大咯血的治疗（Treatment of massive hemoptysis）.docVIP

大咯血的治疗（Treatment of massive hemoptysis） Sharing] treatment of massive hemoptysis Once hemoptysis is more than 50ml or within 24 hours, hemoptysis is greater than 500ml, which is called massive hemoptysis. More than 90% of hemoptysis originated from bronchial artery. The common causes were pulmonary tuberculosis, bronchiectasis, lung abscess, lung cancer, etc.. It should be differentiated with massive hemoptysis hematemesis. The main cause of death in patients with massive hemoptysis was asphyxia, followed by hemorrhagic shock. The treatment of massive hemoptysis includes the following aspects: Conventional treatment 1.1 position: supine position or slightly lateral decubitus. The patient has a small pillow on the lower side of the uninjured shoulder, the head slightly lower, the side of the affected side, the lung auscultation, the bleeding side, the audible sputum or the loud bubbling sound. Avoid lateral decubitus and sitting position to avoid blood or blood clots blocking the contralateral bronchi. Patients are prohibited from getting up, and the stool and urine are all on the bed, and the sun is not allowed. In winter, they are far away from radiators, air conditioners and so on. 1.2, diet: warm and cold diet, eating liquid or semi fluid, nutritious, easy to digest food, eat less, eat more, ban hot, pungent, spicy and other pungent food. 1.3 maintain smooth stool, stool no force or breath, when necessary lubricant or laxative. 1.4 relieve the patients nervous mood and encourage the patient to cough up the blood as much as possible. He should not be forced to swallow. When the blood pressure rises due to excessive tension, a small amount of sedatives can be used. 1.5 of the patients with severe cough expectorant cough medicine available or slow, prohibit the use of morphine and other strong antitussive drugs, the aged and infirm, COPD, in patients with moderate pulmonary hypofunction, do not try to avoid the antitussive, suppression of cough reflex and cause suff