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肺結核并发咯血发生率自19.4—92.6%,其中因大量咯血致死者約1—5%;其死亡原因系由于血块造成呼吸道窒息及血液充填肺泡使换气机能发生障碍所致。因此,临床医师应当把咯血看作急症处理,积极搶救,以免发生意外。据許氏报告(1)应用脑下垂体后叶素治療者24例,注射后止血者19例(79.2%),其中经用一次止血者6例(25%),施用人工气腹止血者21例95.2%有效。福州协和医院1956年及省结核病防治院1957年对肺結核咯血不止的患者曾采用中药治療的共有27例(內有8例曾应用脑垂体后叶素,4例应用人工气腹止血,效果不很滿意),获得初步成績(附表)。茲将經验与体会报道于后,供作参考,并祈指示。
The incidence of pulmonary hemoptysis complicated with hemoptysis was from 19.4 to 92.6%, of which about 1 to 5% were due to massive hemoptysis. The cause of death was due to the obstruction of airway function caused by blood clots and air-filled alveoli. Therefore, clinicians should treat hemoptysis as an emergency treatment and actively rescue them to avoid accidents. According to Hsu’s report (1) 24 cases were treated with pituitrin, and 19 cases (79.2%) were post-injection. Among them, 6 cases (25%) were treated with primary hemostasis. Example 9 is 5.2% effective. Fuzhou Union Medical College Hospital in 1956 and the Provincial Department of Tuberculosis Prevention and Treatment in 1957 for hemoptysis in patients with tuberculosis had used traditional Chinese medicine treatment of a total of 27 cases (8 cases had previously applied pituitary pheromone, 4 cases of artificial pneumoperitoneum hemostasis, the effect is not very Satisfaction), obtaining preliminary results (schedule). We will report our experiences and experiences for reference and prayer instructions.