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肺栓塞突然咯血,先止血还是先抗凝?
肺栓塞是由内源性或外源性栓子阻塞肺动脉引起肺循环和右心功能障碍的临床综合征。其和咯血均属于严重且可能致命的临床情况,而抗凝是肺栓塞的治疗基石,咯血可能是抗凝禁忌,治疗存在矛盾。因此,肺栓塞合并咯血是临床一难点,应如何平衡两者关系?一咯血量如何定义?首先了解咯血量是如何定义的,通常定义 24 h 内咯血 ...
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