MindMap Gallery Hemoptysis mind map
This is a mind map about hemoptysis, including the cause, definition, mechanism, clinical manifestations, accompanying symptoms, etc. Hope this helps!
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Hemoptysis
definition.
Refers to bleeding from any part of the respiratory tract and lungs below the throat, coughed up through the mouth
A small amount of hemoptysis manifests as blood in the sputum. When a large amount of hemoptysis occurs, blood gushes out of the mouth and nose. In severe cases, the respiratory tract may be blocked, leading to death from suffocation.
Hemoptysis needs to be distinguished from bleeding in the upper respiratory tract such as the mouth and nose and hematemesis.
Causes and mechanisms.
Bronchial diseases.
Common ones include bronchiectasis, bronchial carcinoma, bronchial tuberculosis and chronic bronchitis.
The main mechanism of occurrence is: inflammation, tumors, and stones lead to increased permeability of bronchial mucosa or capillaries or rupture of submucosal blood vessels.
Lung disease.
Commonly seen in tuberculosis, pneumonia, lung abscess, etc.
The cause of hemoptysis in our country is still tuberculosis.
The mechanism of hemoptysis caused by pulmonary tuberculosis is: tuberculosis increases capillary permeability, and blood leakage leads to blood or small blood clots in sputum. If small blood vessels are involved, the walls of the vessels may rupture. Causes moderate hemoptysis. If the small aneurysm formed by the branch of the pulmonary artery in the cavity wall ruptures, or the arteriovenous fistula formed by secondary bronchiectasis ruptures, it will cause massive hemoptysis and even be life-threatening.
Cardiovascular diseases.
It is common in mitral valve stenosis, followed by pulmonary hypertension or primary pulmonary hypertension caused by congenital heart disease, pulmonary embolism, pulmonary vasculitis, etc.
Manifestations: A small amount of hemoptysis or blood in the sputum, a large amount of hemoptysis (pink foamy sputum and thick dark red sputum).
Mechanism: It is mostly caused by pulmonary congestion causing rupture of alveolar walls or bronchial intima capillaries and rupture of bronchial varicose veins in the bronchial submucosa.
other.
Blood diseases (leukemia, hemophilia, aplastic anemia, etc.)
Rheumatic diseases (polyarteritis nodosa, systemic lupus erythematosus)
bronchial endometriosis
clinical manifestations
age
Hemoptysis in young adults is common in tuberculosis, bronchiectasis, mitral stenosis, etc.
People over 40 years old with a long history of smoking should be highly vigilant about the possibility of bronchial lung cancer
Amount of blood coughed up
The amount of hemoptysis is within 100 ml, which is a small amount of hemoptysis. 100 ml to 500 ml is a moderate amount of hemoptysis. More than 500 ml, or 100 to 500 ml of hemoptysis at one time is a large amount of hemoptysis.
Coughing up a lot of blood, mainly seen in cavitary tuberculosis, bronchiectasis and chronic lung abscess
Bronchial lung cancer rarely causes a large amount of hemoptysis, and the main manifestation is blood in the sputum.
Chronic bronchitis and mycoplasma pneumonia may also cause bloody sputum, but are often accompanied by severe coughing
color and appearance
Bright red hemoptysis due to tuberculosis, bronchiectasis, lung abscess, and bleeding disorders
Rust-colored sputum is seen in Streptococcus pneumoniae pneumonia, but also in paragonimiasis and alveolar hemorrhage.
Brick-red jelly-like sputum, seen in Klebsiella pneumoniae pneumonia
Hemoptysis caused by mitral stenosis is mostly dark red in color
Hemoptysis caused by left heart failure is serous pink foamy sputum
Hemoptysis caused by pulmonary embolism is thick, dark red sputum
accompanying symptoms
accompanied by fever
Seen in tuberculosis pneumonia, lung abscess, epidemic hemorrhagic fever, bronchial lung cancer, etc.
With chest pain
More common in Streptococcus pneumoniae pneumonia, pulmonary embolism, tuberculosis, bronchial lung cancer, etc.
With choking and coughing
More common in bronchial lung cancer, mycoplasma pneumonia, etc.
With thick phlegm
More common in bronchiectasis, lung abscess, bronchial lung cancer, etc.
With bleeding of skin and mucosa
It can be seen with blood diseases, rheumatism, epidemic hemorrhagic fever, etc.
With finger clubbing
Bronchiectasis, lung abscess, bronchial carcinoma
With jaundice
Leptospirosis, Streptococcus pneumoniae pneumonia, pulmonary embolism