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近2年来,我们采用静脉滴注酚妥拉明和经气管导管用纤支镜直接灌注凝血酶的方法,治疗29例大咯血病人,并就其中的13例予以追踪随访,以评价此法治疗咯血的临床效果。临床资料一般资料本组病例均为我院1991年7月～1992年3月的门诊及住院病人。男18例,女11例。年龄17～63岁。所有病人24小时咯血量超过300ml 为大咯血患者。其中咯血量300～1000ml14例,1000～1500ml11例,1500ml 以上4例。病种分类:支扩13例,肺结核8例、肺癌4例,肿瘤肺转移2例,肺囊肿感染1例,风心二狭1例。方法酚妥拉明10～20mg 加入10%葡萄糖盐水500ml,以12～20滴/分静脉滴入。每日一次,连用5～7天。滴注前测血压,如血压过低需先补足血容量,滴注中及结束时复测血压,观察其变化以调整
In the past 2 years, we treated 29 patients with massive hemoptysis by intravenous infusion of phentolamine and endotracheal tubes by direct bronchofibersophageal perfusion. Follow-up was performed on 13 of them, in order to evaluate this method for the treatment of hemoptysis The clinical effect. Clinical data General information The patients were from July 1991 to March 1992 outpatient and inpatient. 18 males and 11 females. Age 17 ~ 63 years old. All patients with hemoptysis over 24 hours more than 300ml for patients with hemoptysis. Including hemoptysis 300 ~ 1000ml14 cases, 1000 ~ 1500ml11 cases, 1500ml above4 cases. Disease classification: branch expansion in 13 cases, tuberculosis in 8 cases, 4 cases of lung cancer, lung metastases in 2 cases, 1 case of pulmonary cyst infection, wind and heart two cases in 1 case. Methods Phentolamine 10 ~ 20mg added 10% glucose saline 500ml, with 12 to 20 drops / min intravenous infusion. Once daily, once every 5 to 7 days. Blood pressure before instillation, such as low blood pressure need to make up enough blood volume, intra-drop and at the end of retest blood pressure, observe the changes to adjust