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大咯血为内科常见急症,死亡率较高,药物疗效差,不易确定出血部位而无法手术。本文探讨纤支镜外套气管导管检查并局部注入5％孟氏液,抢救内科药物治疗无效且部位不明的咯血。 1 材料与方法 1.1 病例来源:均为我院门诊及住院患者,共16例,男11例,女5例,年龄42.4±12.6岁(X±S)。其中支气管扩张症8例,诊断不明8例。24小时咯血最大于800ml,内科药物治疗无效,出血部位不明无法手术。 1.2 方法:常规镜检前准备,给予输血等支持疗法,保持静脉通路,准备好抢救措施。以气管导管做
Hemoptysis is a common medical emergency, higher mortality, poor efficacy of the drug, difficult to determine the bleeding site and can not surgery. This article discusses the bronchoscopy coat tracheostomy catheter and local injection of 5% Monteggia, rescue medical treatment of invalid and unknown parts of hemoptysis. 1 Materials and Methods 1.1 Case Sources: all of our outpatient and inpatient hospital, a total of 16 cases, 11 males and 5 females, aged 42.4 ± 12.6 years (X ± S). Of which 8 cases of bronchiectasis, 8 cases of unknown diagnosis. Hemoptysis in 24 hours up to 800ml, medical treatment ineffective, bleeding site unknown can not surgery. 1.2 Methods: Preparation of conventional microscopy, blood transfusions and other supportive therapy to maintain venous access, ready to rescue measures. To do with tracheal catheter