Coughing up blood after bronchoscopy for lung adenocarcinoma needs to be handled according to the amount of bleeding, including general nursing, medication and interventional therapy.
After bronchoscopy, small amount of hemoptysis is common, which may be caused by bronchial tube stimulation; if coughing up blood is more serious, it may be rupture of larger blood vessels, on one hand, the cancer cells invade blood vessels, on the other hand, it is considered that the fragile blood vessels have been touched in the process of bronchoscopy, which leads to hemorrhage.
1. General nursing care, when coughing up blood, it is necessary to adopt sitting position or lateral position to prevent suffocation caused by blood flow. At the same time, it is also necessary to administer oxygen and drain sputum well.
2. medication, hemoptysis is not serious, the use of drugs can stop bleeding, such as pituitary posterior lobe hormone, hemostatic minerals, hemostatic aphthous acid and so on. In addition, we should pay attention to actively preventing and controlling infections, and use antibiotics when necessary.
3. Interventional therapy, if hemoptysis is more serious and the effect of hemostatic drugs is not good, interventional hemostasis can be adopted, in which the bleeding blood vessels are pressed to stop bleeding or local drugs are used to stop bleeding.
When coughing up blood after bronchoscopy for lung adenocarcinoma, doctors should be informed in time to take appropriate treatment.