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本文讨论18例大咯血病例,对大咯血的病因,诊断方法及抢救措施进行探讨。结果表明,大咯血病因中以支气管扩张、支气管炎症、肺结核为主。诊断方法,最好在胸外科准备的基础上,紧急作纤支镜检查,既可达到病因或出血部位的诊断,又可用局部用药或胸外手术治疗、作者认为在内科保守治疗无效的情况下,积极行胸外肺叶切除术,以提高治愈率。
This article discusses 18 cases of hemoptysis, the cause of massive hemoptysis, diagnostic methods and rescue measures to explore. The results showed that the main causes of hemoptysis bronchiectasis, bronchial inflammation, tuberculosis. Diagnostic methods, preferably based on the preparation of thoracic surgery, emergency for fiberoptic examination, both to reach the cause of bleeding or diagnosis of the site, but also topical or chest surgery, the author believes that the conservative treatment of internal medicine is invalid , Active chest thoracotomy, in order to improve the cure rate.