摘要
咯血是儿童较常见的临床症状，病情轻重取决于咯血发生的速度和咯出血量的程度，其发病原因多样，其中血管相关性咯血是因素之一，尽管其发生率临床并不常见，但多为大咯血发生的首位病因。血管相关性咯血在临床的诊断相对滞后，缘于该病因在经过渐进的诊断步骤后才能明确，而且该病的治疗及预后取决于异常血管的类型、数量、形态和咯血的程度，因此，在临床工作应进一步提高对咯血的认识，早期识别血管相关性咯血，制定规范的诊断程序，完善风险评估，确定适宜的治疗方案和时机，提高该病的诊治水平，降低并发症发生和咯血复发的概率。
Hemoptysis in childhood is a common clinical manifestation whose severity depends on the rate at which hemoptysis occurs and the degree of bleeding. Hemoptysis occurs for a variety of reasons, among which hemoptysis correlated with vessels is one of the factors. Although the incidence rate is not common, it is mostly the first cause of hemoptysis. Hemoptysis correlated with vessels exit a relatively backward diagnosis in clinical which due to the gradual process of the diagnosis ,and its treatment and prognosis of the disease depends on the type,number,morphology of ab- normal vessels and degree of bleeding. It is important to earlier recognize hemoptysis correlated with vessels, develop a standardized diagnostic procedure, setup appropriate treatment plans and timing for medical staff so as to improve the diagnosis and treatment of the disease and reduce the incidence of complications and hemoptysis recurrence rate.
作者
吕铁伟
况虹宇
易岂建
田杰
Lyu Tiewei;Kuang Hongyu;Yi Qijian;Tian Jie(Heart Centre,Children＇s Hospital of Chongqing Medical University,Key Laboratory of Developmental Disease in Childhood（Chongqing Medical University）,Ministry of Education,China International Science and Technology Cooperation Base of Child Development and Critical Disorders,Chongqing Key Laboratory of Pediatrics,Chongqing 401122,China)
出处
《中华实用儿科临床杂志》
CSCD
北大核心
2018年第13期979-982,共4页
Chinese Journal of Applied Clinical Pediatrics
关键词
儿童
血管相关性咯血
诊断
治疗
Child
Hemoptysis correlated with vessels
Diagnosis
Treatment
作者简介
通信作者：吕铁伟，Email：ltw200145@163．com
