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作者宋圣玉、周建芳和张晓明分别介绍了应用苄胺唑啉(酚妥拉明)、东茛菪硷治疗大咯血的经验,这种方法在国内尚不多见。出于两者都有一定扩张血管的作用,与传统应用缩管药的作用机理正相反,我们认为有条件的地方似乎值得进一步试用和探讨。但是,正如作者所指出的:应用扩管药物时,对因大咯血而产生的低血容量未能纠正的病人的应暂列为禁忌。另外当血液被动转移而暂时止血时,应同时采用其他止血药物以维持疗效。现将信稿摘录如后。
The author Song Shengyu, Zhou Jianfang and Zhang Xiaoming introduced the application of benzylazoline (phentolamine), scopolamine treatment of hemoptysis experience, this method is rare in China. For the two of them have a certain role in dilation of blood vessels, contracting the traditional mechanism of action of contracting drugs, we think that where conditions seem worthy of further trial and discussion. However, as the authors point out, the use of catheter augmentation drugs should be temporarily taboo for those patients with uncorrected hypovolemia due to massive hemoptysis. In addition, when the blood is temporarily transferred to stop bleeding, other hemostatic drugs should be used to maintain the therapeutic effect. The letter is extracted as follows.