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大咯血是临床常见且处理较为困难的急症之一。近年来,国内报道了不少简便有效的疗法,其中部分疗法笔者亦曾验证于临床,确有良效。现将其分别介绍如下,供同道参考。一、氯丙嗪疗法适用于血容量无明显减少,无低血压的大咯血者,尤适用于伴有紧张、烦躁或发热者。肝、肾功能减退,严重心血管疾患及老年人应慎用。用法:氯丙嗪10～15mg/次,每4～6小时肌注1次。疗程、剂量及给药间歇时间等视咯血控制情况而定。用药期间宜卧床,以防体位性低血压。
Hemoptysis is one of the most common clinical and more difficult to deal with emergency. In recent years, many simple and effective therapies have been reported in China, some of which have been validated in clinical practice. Now they are introduced as follows, for fellow reference. First, chlorpromazine therapy for no significant reduction in blood volume, no hypotension in patients with hemoptysis, especially for those with tension, irritability or fever. Liver, renal dysfunction, severe cardiovascular disease and the elderly should be used with caution. Usage: Chlorpromazine 10 ~ 15mg / time, every 4 to 6 hours intramuscular injection 1 times. Medication, dose and administration intermittent time depending on hemoptysis control may be. Medication should be bedridden to prevent orthostatic hypotension.