医学ppt课件咯血（hemoptysis）.pptVIP

Clinical manifestation 1.the patient’s age. 2.the amount of coughing up blood. 3.color and character 1.The patient’s age Hemoptysis is often seen in pulmonary TB, bronchiectasis and rheumatic heart disease (mitral stenosis) for most youth. Cancer is now the disease that patients think of when they expectorate blood, just as it was TB 50 years ago. Elder patient with bloody sputum or streaked of bloody sputum, especially in the males with long history of smoking. cancer should be taken into account. Patients close contact with TB suffer, TB should be considered. Paragonimiasis (肺吸) may suspected in the people with history of eating raw or improperly cooked crabs or crayfish. Epidemic hemorrhagic fever, lepto-spirosis also can cause hemoptysis, they are endemic disease. [临床表现] 1.年龄 (1)青壮年咯血常见于肺结核、支气管扩张症、二尖瓣狭窄等。 （2）40岁以上有长期吸烟史（纸烟20支/日×20年以上年）者，应高度注意支气管肺癌的可能性。 （3）儿童慢性咳嗽伴少量咯血与低色素贫血，而注意特发性含铁血黄素沉着症的可能。 2.The amount of coughing up blood Hemoptysis can be classified into three groups according to the amount of coughing blood. Massive: expectoration 500ml/24hr. Moderate: 500ml expectoration 100ml/24hr minimal: expectoration 100ml/24hr 根据三原色原理叠加后的单色形成了第三种颜色并脱离了原本的单色颜色更加丰富象征着产品在原有空间的组合中产生了突破性的变化 * 咯 血(hemoptysis) 原南京中大附属医院神内科主任、硕士生导师 佛山大学医学院医学系孟红旗教授、主任医师 Professor、Doctor director 、Neurologist Hemoptysis Hemoptysis is the expectoration of blood from airway blow larynx. Hemoptysis patients should be examined the nose, mouth and upper respiratory tract to be found the hemorrhagic spot. 喉 Hemoptysis the quantity of blood may vary from streaks and flecks in the sputum to massive hemorrhage. minimal bleeding may be an early indicator of the presence of serious bronchopulmonary disease. hemorrhages of even moderate degree may life threatening. Hemoptysis About 50 percent of the chest films of the hemoptysis patient show no abnormalities