Pulmonary tuberculosis is a common disease in daily life, which is often manifested by coughing, sputum, hemoptysis and other symptoms. Among them, hemoptysis is an important manifestation of the more serious period of pulmonary tuberculosis. So how should patients with pulmonary tuberculosis be treated after coughing up blood? Let's take a closer look! 1. Antifibrinolytic hemostatic drugs: their hemostatic mechanism is to inhibit the activating enzyme of plasminogen, so that it cannot be activated and converted into plasmin, thereby blocking the dissolution of fibrin, promoting blood coagulation, and protecting the coagulated blood clots in the wound. The lungs, liver, pancreas, and prostate contain large amounts of plasminogen activator enzyme. 2. Hemostatic drugs that act on blood vessels and platelets: 1) Posterior pituitary hormone: It contains oxytocin and vasopressin, the latter of which directly excites smooth muscles and causes arterioles to contract, thereby reducing the amount of blood in the pulmonary circulation and contracting the pulmonary blood vessels to stop bleeding. It is currently the most effective hemostatic drug for the treatment of massive hemoptysis and is known as the "hemostatic forceps of internal medicine." 2) Hemostatic sensitivity (hemostatic): promotes platelet production, increases platelet aggregation and adhesion, shortens coagulation time, and accelerates blood clot contraction. 3) Anluoxue: Reduces capillary permeability and promotes the retraction of capillary ends. 4) Procaine (Novocaine): It can excite the vagus nerve, dilate peripheral blood, reduce pulmonary circulation blood volume and lower pulmonary circulation pressure to achieve the purpose of hemostasis, and has a calming and fear-eliminating effect. 5) Adrenal cortical hormone: It has anti-inflammatory, anti-allergic, anti-exudative, antitoxin, and cell membrane stabilizing effects, so it can reduce inflammation and reduce capillary permeability; some people have reported that hormones can cause mast cells containing a large amount of histamine and heparin in the blood to lose degranulation or even degenerate, thereby reducing heparin levels, shortening coagulation time and stopping bleeding; hormones can also increase the function of red blood cells and platelets, increase the concentration of fibrinogen, and shorten coagulation time. 6) Phentolamine: First, 20 mg intravenously, then 10-20 mg + 250 ml of 5% glucose intravenously. 7) Hibernation II (50 mg of pethidine + 25 mg of phenergan + 0.3 mg of hydoxyquin + 9 ml of water for injection, a total of 12 ml); 2 ml is injected intramuscularly each time, every 2 to 3 hours. |
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