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饮食养生:大量咯血怎么急救

做好气管插管或气管切开的准备与配合工作,以解除呼吸道阻塞。

The preparation and cooperation of endotracheal intubation or tracheotomy should be done to relieve the airway obstruction.

必要时使用呼吸兴奋剂。

Use respiratory stimulants if necessary.

咯血时要注意防止阻塞性肺不张、肺部感染及休克等并发症。

When hemoptysis, we should pay attention to prevent the complications of obstructive atelectasis, pulmonary infection and shock.

立即加压给氧,给予高流量吸氧;对伴呼吸功能衰竭者,在呼吸道通畅的情况下,应用呼吸兴奋剂尼可刹米、洛贝林、回苏灵等,如尼可刹米0.75~1.25 g ,静脉注射或洛贝林3~9mg,静脉注射。

The patients with respiratory failure were treated with respiratory stimulants such as nicothamide 0.75-1.25 g intravenously or 3-9 mg of lobilin intravenously under the condition of unobstructed respiratory tract.

如果病人在咯血时,突然停止咯血,而且变得面色苍白,呼吸慢慢减弱,而且鼻腔、口腔会流出一些血液,这种情况就非常紧急了,说明病人正在遭遇窒息,这种时候就要迅速抢救,让病人及时吸氧,避免窒息情况恶化,造成不可挽回的伤害。

If the patient suddenly stops hemoptysis, and becomes pale, breathing slowly weakened, and some blood will flow out of the nasal cavity and oral cavity, this situation is very urgent, indicating that the patient is suffering from asphyxia. At this time, it is necessary to rescue the patient quickly, so that the patient can take oxygen in time to avoid the deterioration of asphyxia and irreparable damage.

2、大量咯血的一般处理对大咯血病人要求绝对卧床休息。

2. The general treatment of massive hemoptysis requires absolute bed rest for patients with massive hemoptysis.

医护人员应指导病人取患侧卧位,并做好解释工作,消除病人的紧张和恐惧心理。

The medical staff should guide the patients to take the side lying position, and do a good job in explanation, so as to eliminate the patients' tension and fear.

同时,还应鼓励病人咳出滞留在呼吸道的陈血,以免造成呼吸道阻塞和肺不张。

At the same time, the patient should be encouraged to cough up the old blood in the respiratory tract, so as not to cause respiratory obstruction and atelectasis.

如病人精神过度紧张,可用小剂量镇静剂,如地西泮2.5mg,口服,2次/d,或地西泮针剂10mg肌注。

If the patient is over nervous, a small dose of sedative, such as diazepam 2.5mg, orally, twice a day, or diazepam injection 10mg intramuscular injection, can be used.

用药后由于肺小动脉的收缩,肺内血流量锐减,肺循环压力降低,从而有利于肺血管破裂处血凝块的形成,达到止血目的。

After treatment, due to the contraction of pulmonary arterioles, the blood flow in the lung decreases sharply, and the pulmonary circulation pressure decreases, which is conducive to the formation of blood clots at the rupture of pulmonary vessels, so as to achieve the purpose of hemostasis.

具体用法:垂体后叶素5~10u25%葡萄糖液20~40ml,缓慢静注(10~15min注毕);或垂体后叶素10~20u。

Specific usage: pituitrin 5 ~ 10u, 25% glucose solution 20 ~ 40ml, slow intravenous injection (10 ~ 15min); or pituitrin 10 ~ 20u.

咯血的家庭急救方法一旦出现咯血,不论何种疾病引起的,也不管是痰中带血还是晨起后咯一两口血,都应该引起重视,及时到医院呼吸科、胸外科或急诊科就诊。

Once hemoptysis occurs, no matter what kind of disease, blood in sputum or one or two mouthfuls of blood after getting up in the morning, we should pay attention to it and go to the respiratory department, thoracic surgery department or emergency department of the hospital in time.

3、止血药的应用,少量咯血者,可口服云南白药等,急性大量咯血者,可给予立止血、脑垂体后叶素等以控制出血。

3. The use of hemostatic drugs, a small amount of hemoptysis, oral Yunnan Baiyao, acute massive hemoptysis, can be given Reptilase, pituitrin, etc. to control bleeding.

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