How is pulmonary haemorrhage to return a responsibility?

summary

Pulmonary hemorrhage can occur at the same time with trauma or coagulopathy. Generally, it is difficult to get good treatment by taking medicine. Taking medicine can only alleviate the disease. Pulmonary contusion and hemorrhage are common after trauma, and congestion is formed within 6 hours after trauma; The symptoms worsened within 24-48 hours, and the complete healing was usually within 3-10 days. There may also be other symptoms of chest trauma, such as rib fracture. Clinical symptoms include dyspnea, shortness of breath, cough and bleeding. So we must do a good job in the related work of this disease, so what's the matter with pulmonary hemorrhage?.

How is pulmonary haemorrhage to return a responsibility?

First: pulmonary blood increased, aortic valve insufficiency, usually asymptomatic, but once the disease, the course of disease is very fast, left heart protrusion is caused by aortic valve insufficiency, pulmonary blood increased is due to high left ventricular pressure, causing high left atrial pressure, and then cause pulmonary stasis.

Second: alveolar hemorrhage pulmonary hemorrhage nephritis syndrome, also known as anti basement membrane glomerulonephritis, Goodpasture syndrome or Goodpasture disease. It may be caused by virus infection and / or inhalation of some chemical substances. It is a serious injury of glomerular and alveolar basement membrane caused by anti basement membrane antibody. Its clinical manifestations are pulmonary hemorrhage, rapidly progressive glomerulonephritis and positive serum anti basement membrane antibody triad. Most patients progress rapidly and have a dangerous prognosis.

Third: pulmonary congestion pulmonary congestion refers to the local blood vessels in the lung blood stasis, usually caused by left heart failure, left ventricular pressure rise, hinder pulmonary venous return, resulting in pulmonary congestion.

matters needing attention

Within 24-48 hours after injury, the pulmonary contusion caused by trauma was aggravated. If there are complications, the corresponding injury should be considered. The treatment was the same as that of crescentic glomerulonephritis. Plasma exchange combined with corticosteroids and cyclophosphamide can remove and reduce the concentration of serum anti renal basement membrane antibody, and also can remove the substances that damage the body tissue α、β Complement, so as to reduce and improve the kidney and lung lesions. If plasma exchange and hormone immunosuppressant are ineffective, bilateral nephrectomy should be considered. Peritoneal dialysis is suitable for patients with obvious pulmonary hemorrhage. Once the anti basement membrane antibody in the blood disappears, renal transplantation can be performed to avoid the recurrence of nephritis.