对65例大咯血的病因及治疗分析,显示原发病以支气管扩张为首位,占60％,其次依次为肺结核、肺癌等。止血疗法采用一般止血药(止血敏,抗血纤溶芳酸、6-氨基己酸、安络血)及一般止血药加特殊药物(垂体后叶素、酚妥拉明、氯丙嗪、普鲁卡因,立止血)。结果显示各综合用药组疗效显著高于一般用药组,P<0.05。表明对大咯血采用综合性治疗措施,止血疗法应酌情联用特殊止血药。 Of the 65 cases of massive hemoptysis, the etiology and treatment analysis showed that the primary disease with bronchiectasis as the first place, accounting for 60%, followed by tuberculosis, lung cancer and so on. Hemostatic therapy using general hemostatic (bleeding sensitive, anti-fibrinolytic acid, 6-aminocaproic acid, the network of blood) and the general hemostatic plus special drugs (pituitrin, phentolamine, chlorpromazine, Cape Lucaine, standing stop bleeding). The results showed that the comprehensive treatment group was significantly higher than the general medication group, P <0.05. That a comprehensive treatment of massive hemoptysis treatment, hemostasis should be combined with special hemostatic drugs, as appropriate.