What hemostasis does haemoptysis use

summary

My grandfather was seriously ill last year. He had massive hemoptysis. I feel terrible. Now I'd like to introduce to you what hemostasis is for massive hemoptysis?

What hemostasis does haemoptysis use

First of all, in the case of massive hemoptysis to deal with in a timely manner, the main principle is to quickly and effectively eliminate the blood in the respiratory tract, which is mainly to prevent patients from asphyxia, but also to carry out effective treatment. Pituitrin: can directly act on vascular smooth muscle, with strong vasoconstriction. After treatment, due to the contraction of pulmonary arterioles, the blood flow in the lung is sharply reduced, and the pulmonary circulation pressure is reduced, which is conducive to the formation of blood clots at the rupture of pulmonary vessels, so as to achieve the purpose of hemostasis.. In the course of medication, if the patient has headache, pale complexion, sweating, palpitation, chest tightness, abdominal pain, constipation and high blood pressure, the speed of intravenous injection or intravenous drip should be slowed down. Patients with hypertension, coronary heart disease, arteriosclerosis, pulmonary heart disease, heart failure and pregnancy should be cautious or not.

Secondly, vasodilator: by dilating pulmonary vessels, it can reduce pulmonary artery pressure, pulmonary wedge pressure and pulmonary wedge embedded pressure; at the same time, systemic vascular resistance decreases, cardiac blood volume decreases, and intrapulmonary blood shunts to the limbs and visceral circulation, playing the role of "internal bleeding". The pressure of pulmonary artery and bronchial artery was reduced to achieve the purpose of hemostasis. It is especially suitable for patients with hypertension, coronary heart disease, cor pulmonale and pregnancy contraindicated by pituitrin. Commonly used are: phentolamine: alpha receptor blockers, using this method to treat massive hemoptysis. However, in order to prevent postural hypotension and hypotension, we should stay in bed during medication. For patients with insufficient blood volume, the drug should be used on the basis of replenishing blood volume.

Finally, general hemostatic drugs: mainly through improving the coagulation mechanism, strengthening the function of capillaries and platelets. Aminocaproic acid. In addition, there are also anluoxue, which can reduce capillary leakage, vitamin K, which is involved in prothrombin synthesis, protamine, which can resist heparin, Yunnan Baiyao, various hemostatic powder, etc. In view of the fact that the clinical massive hemoptysis is mostly caused by bronchial or pulmonary vascular rupture, the above drugs are generally only used as adjuvant drugs for massive hemoptysis.

matters needing attention

In the case of massive hemoptysis, it is necessary to go to the hospital for rescue and treatment in time. At the same time, it is also necessary to supplement the blood of the body. If necessary, it is necessary to input fresh blood.