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大量咯血为内科急症,以前多选用垂体后叶素止血,可是如风心病或妊娠等、合并咯血时,则忌用垂体后叶素,故治疗较困难。我院于1980年至1989年对风心病或妊娠等合并咯血者,使用普鲁卡因治疗30例,效果良好,今报告如下。本组30例中,男18例,女12例,年龄28～70岁,平均年龄48岁。其中风心病二尖瓣狭窄合并咯血15例(其中合并妊娠1例),肺炎11例,支气管扩张症4例(合并妊娠2例)。咯血量10～1000ml不等,大多数为60～100ml左右。从咯血到就诊时间:数小时到1月,大多数在12～48小时。
A large number of hemoptysis for medical emergencies, the former use of pituitrin to stop bleeding, but such as rheumatic heart disease or pregnancy, combined with hemoptysis, then avoid using pituitrin, it is more difficult to treat. Our hospital from 1980 to 1989 on rheumatic heart disease or pregnancy merger hemoptysis, the use of procaine in 30 cases, the effect is good, the report is as follows. The group of 30 cases, 18 males and 12 females, aged 28 to 70 years, mean age 48 years. In which rheumatic mitral stenosis with hemoptysis in 15 cases (including 1 case of pregnancy), pneumonia in 11 cases, 4 cases of bronchiectasis (with pregnancy in 2 cases). Hemoptysis 10 ~ 1000ml range, most of 60 ~ 100ml or so. From hemoptysis to treatment time: a few hours to January, most in 12 to 48 hours.