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病例报告章△△,女,26岁,住院号10906,因患支气管扩张反复大咯血入院。患者咳嗽,咯血痰20年,一周来咯血次数及量明显增多,多时200ml/次,少则10～ 30ml/次,伴不规则发热。查体:两肺可闻及少许干湿罗音,以右下肺底明显。住院第三天突然出现大咯血,量约600～700ml,患者即出现神志不清,颜面繁绀,四肢抽搐,脉搏快细,呼吸停止。立即给予导管插管抽吸血块,经抢救呼吸恢复,神志转清,2小时后再次咯血,量约500ml,又出现心跳,呼吸骤停,随即进行气管切开,并通用HFV-1型高频喷射呼吸机(频率60次/分,驱动压力0.5kg/cm~2),经持续5天通气,顺利拨管痊愈出院。
Case report △ △, female, 26 years old, hospital number 10,906, due to bronchiectasis repeated massive hemoptysis hospitalization. Patients cough, hemoptysis sputum 20 years, a week to significantly increase the frequency and amount of hemoptysis, long time 200ml / times, ranging from 10 ~ 30ml / times, with irregular fever. Physical examination: two lungs can be heard and a little dry and wet rales to the right lower lung significantly. On the third day of hospitalization, a sudden massive hemoptysis occurred. About 600-700 ml of blood was taken. The patient showed unconsciousness, facial deformity, convulsions in the extremities, weak pulse and respiration. Immediately given catheter intubation suction clot, Rescue breathing recovery, consciousness clear, 2 hours after the second hemoptysis, the amount of about 500ml, another heartbeat, respiratory arrest, and then tracheotomy, and general HFV-1 type high frequency Spraying ventilator (frequency of 60 beats / min, driving pressure 0.5kg / cm ~ 2), after 5 days ventilation, smooth dialing recovery.