Yendamuri Sai
Department of Thoracic Surgery, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY 14263, USA; Yashoda Hospitals, Alexander Road, Secunderabad, Telangana 500003, India.
Thorac Surg Clin. 2015 Aug;25(3):255-60. doi: 10.1016/j.thorsurg.2015.04.009. Epub 2015 Jun 12.
Massive hemoptysis is not an uncommon surgical problem. A systematic yet flexible and multidisciplinary approach leads to optimal outcomes. The initial focus should be on stabilizing patients and securing the airway, which should be followed by methods to stop the bleeding, preferably nonsurgical methods. Consideration for definitive therapy should ensue, including surgical therapy for appropriate patients. This review outlines the management of patients with massive hemoptysis from benign and malignant causes.
大量咯血并非罕见的外科问题。系统且灵活的多学科方法可带来最佳治疗效果。初始重点应是稳定患者病情并确保气道安全，随后应采用止血方法，最好是非手术方法。接着应考虑确定性治疗，包括对合适患者的手术治疗。本综述概述了由良性和恶性病因导致的大量咯血患者的管理。
