咯血是临床常见症状,大量咯血常有生命危险,必须积极治疗。我科近年来采用酚妥拉明和氯丙嗪联合治疗大中量咯血35例,取得了一定疗效,现做一简要总结。1临床资料1.1选择对象男25例,女10例,年龄18～65岁。其中19例肺结核,10例支气管扩张、6例肺癌,均分别由胸部X线片、纤支镜、CT及病检确诊,咯血量在250-600ml/d。1.2治疗方法及结果患者入院后除针对原发病进行处理外,同时采取积极止血措施:(1)镇静、卧床休息。(2)直接使用止血药物:安络血、6-氨基已酸。维生素k等处理,咯血不止,其中3例使用垂体后叶素后出现剧烈腹痛。7例高血压,冠心病未使用垂体后叶素。此35例均经使用酚妥拉明,氯丙嗪后咯血渐止。方法:10%GS200-500ml+酚妥拉明 Hemoptysis is a common clinical symptom, a lot of hemoptysis is often life-threatening and must be actively treated. In recent years, our department with phentolamine and chlorpromazine combined treatment of 35 cases of large and medium amounts of hemoptysis, achieved a certain effect, is a brief summary. 1 Clinical data 1.1 Select objects 25 males and 10 females, aged 18 to 65 years. 19 cases of tuberculosis, 10 cases of bronchiectasis, 6 cases of lung cancer were diagnosed by chest X-ray, bronchoscopy, CT and pathological examination, hemoptysis in the 250-600ml / d. 1.2 Treatment Methods and Results Patients admitted to hospital except for the primary disease for treatment, while taking active measures to stop bleeding: (1) calm, bed rest. (2) Direct use of hemostatic drugs: Anluo blood, 6-amino acid has been. Vitamin K and other treatment, hemoptysis more than three cases of severe vomiting after the use of pituitrin. Seven cases of hypertension, coronary heart disease did not use pituitrin. The 35 cases were treated with phentolamine, chlorpromazine hemoptysis gradually. Method: 10% GS200-500ml + phentolamine