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“大量”咯血。

"Massive" haemoptysis.

作者信息

Hafiz Ali, Baidwan Anmol

机构信息

Department of Internal Medicine, Mary Washington Healthcare, Fredericksburg, VA, USA.

Pulmonary Associates of Fredericksburg, Fredericksburg, VA, USA.

出版信息

Breathe (Sheff). 2025 Sep 16;21(3):250045. doi: 10.1183/20734735.0045-2025. eCollection 2025 Jul.

Abstract

Massive haemoptysis is a life-threatening condition requiring immediate and systematic management. Initial steps should focus on airway stabilisation, haemodynamic support and rapid identification of the bleeding source. Due to the complexity in diagnosis and management, along with a high associated mortality rate, massive haemoptysis offers an excellent opportunity for simulation training. Herein we present a simulated case of massive haemoptysis in a hospitalised patient. The scenario is crafted to help learners develop proficiency in the rapid recognition and multidisciplinary management of this high-risk condition, with an emphasis on airway protection and haemodynamic stabilisation. The script is widely adaptable across institutions and medical disciplines, and customisable to the needs of diverse learner populations.

摘要

大量咯血是一种危及生命的状况,需要立即进行系统管理。初始步骤应侧重于气道稳定、血流动力学支持以及快速识别出血源。由于诊断和管理的复杂性,以及较高的相关死亡率,大量咯血为模拟培训提供了绝佳机会。在此,我们展示一例住院患者大量咯血的模拟病例。该场景旨在帮助学习者提高对这种高风险状况的快速识别和多学科管理能力,重点是气道保护和血流动力学稳定。该脚本可在不同机构和医学学科中广泛应用,并可根据不同学习者群体的需求进行定制。

相似文献

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"Massive" haemoptysis.“大量”咯血。
Breathe (Sheff). 2025 Sep 16;21(3):250045. doi: 10.1183/20734735.0045-2025. eCollection 2025 Jul.

本文引用的文献

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Hemoptysis: Evaluation and Management.咯血:评估与管理。
Am Fam Physician. 2022 Feb 1;105(2):144-151.
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Management of life-threatening hemoptysis.危及生命的咯血的处理
J Intensive Care. 2020 Apr 5;8:23. doi: 10.1186/s40560-020-00441-8. eCollection 2020.
9
Managing Massive Hemoptysis.大咯血的处理
Chest. 2020 Jan;157(1):77-88. doi: 10.1016/j.chest.2019.07.012. Epub 2019 Jul 30.
10
A systematic approach to the management of massive hemoptysis.一种处理大量咯血的系统方法。
J Thorac Dis. 2017 Sep;9(Suppl 10):S1069-S1086. doi: 10.21037/jtd.2017.06.41.

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