氯丙嗪联合山莨菪碱治疗难治性肺结核大咯血31例疗效分析

Therapeutic effect analysis of chlorpromazine combined anisodamine for refractory massive hemoptysis of pulmonary tuberculosis: A report of 31 cases

目的探讨难治性肺结核大咯血非常规止血药物治疗的理想方案。方法参照相关文献观察分析初始非常规止血药物治疗无效后以氯丙嗪联合山茛菪碱治疗的31例难治性肺结核大咯血患者的临床疗效。结果显效28例(90.3%),有效3例(9.7%),无效0例,复发0例。结论氯丙嗪联合山茛菪碱治疗难治性肺结核大咯血即刻止血效果好、起效快、疗程短、疗效高、价廉实惠,尤其适用于条件较差的基层医院。

Objective To investigate ideal therapeutic regime of non conventional hemostatic agents for the refractory massive hemoptysis of pulmonary tuberculosis. Methods Reference to the relevant reports, curative effect analysis of chlorpromazine combined anisodamine were performed on 31 cases of refractory massive hemoptysis of pulmonary tuberculosis after initial unconventional hemostatic agents had been ineffective. Results After the medication, 28 cases （90.3%） had no active bleeding no longer in the same day, hemoptysis in 3 cases （9.7%） was gradually reduced to cease, 0 case was ineffective and recurrent. Conclusion Chlorpromazine combined anisodamine for refractory massive hemoptysis of pulmonary tuberculosis has a good immediate hemostasis effect. It not only takes effect rapidly and efficiently, but also has a short course and low cast, especially suitable for primary hospitals and other places with poor conditions.