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咯血常见于肺部或支气管疾患,不少患者在咯血后多惊慌万分使精神紧张,治疗的要求非常迫切。少量咯血经一般止血治疗后大都能停止。较多量的咯血病情变化较大,可以迅速发生窒息或休克导致死亡。通常的止血药物如钙剂,子种维生素,凝血质,仙鹤草素等在大咯血时帮助可能不大,这时如果设备技术条件较差,处理就很辣手了。近来文献上报导静脉注射脑垂体后叶素治疗中等量的较大咯血获得了相当良好的疗效,有些病例甚至在注入后立即止血。但是脑垂体后叶素是一种含有多种成分的内分泌素,静脉注射后影响全身较大,不慎时亦可产生严重后果,因此应用上要求注意的地方亦较多,笔者就此温习有关文献结合个人经验作一简单介绍。
Hemoptysis common in the lungs or bronchial disorders, many patients in panic after more than hemoptysis very nervous, the treatment is very urgent. A small amount of hemoptysis after the general treatment to stop bleeding. Larger amounts of hemoptysis change greatly, can be asphyxial or shock quickly lead to death. The usual hemostatic drugs such as calcium, seed vitamins, blood clots, such as agrimony in hemoptysis help may not be large, then the equipment if the technical conditions are poor, the treatment is very hot hands. Recent literature reports that intravenous injection of vasopressin in the treatment of moderately large amounts of hemoptysis achieved quite good results, with some cases even stopping bleeding immediately after infusion. However, the pituitrin is a kind of endocrine containing a variety of ingredients, after intravenous injection affect the whole body larger, when inadvertently can have serious consequences, so the application requires attention more places, I review the literature Combined with personal experience for a brief introduction.