Internal bleeding

Introduction The phenomenon of bleeding caused by visceral injury is called visceral bleeding. Hemorrhage and blood stasis sometimes have a certain relationship of causal transformation. In clinical practice, sometimes bleeding is the cause, and blood stasis is the result. If the blood stasis can't stay for a long time, the new blood will not be born, the blood will not return to the classics, and it will be transformed into blood stasis, and the bleeding will be fruit.

Cause

Most injuries are caused. The clinical manifestations vary according to the location, speed and extent of bleeding. If it is gastrointestinal bleeding, there may be hematemesis, melena or blood in the stool. If it is a parenchymal organ (hepatic spleen, etc.), there will be shock. If there is a hollow organ rupture, there may be signs of peritoneal irritation. Small bleeding that does not cause shock can be treated conservatively. The key is to see what causes it.

an examination

Related inspection

Abdominal plain film abdominal CT

Hematemesis, hemoptysis, shock and other clinical manifestations. The pathological changes of blood syndrome are summarized, and they are hot and smoldering, blood stasis and qi deficiency are not taken, and blood is overflowing. In the fiery heat, there is a distinction between real fire and virtual fire; in the qi deficiency, there is a qi deficiency and gas loss, and the yang is also different. Although the deficiency syndrome and the evidence have different etiology and pathology, in the process of disease development and change, the conversion from evidence to deficiency syndrome often occurs, and the deficiency syndrome can be combined with the phenomenon of evidence. If the fire is full of anger, forced blood, and repeated bleeding, it will lead to loss of yin blood, endangered by virtual fire, or excessive bleeding, blood to gas, resulting in qi deficiency and yang, can not take blood. Therefore, under certain circumstances, yin deficiency and qi deficiency and qi deficiency are both the pathological factors leading to bleeding and the consequences of bleeding.

Differential diagnosis

When there is a large amount of visceral bleeding, anemia and shock symptoms can be seen from the outside.

Pulmonary hemorrhage can numb blood stasis.

Upper gastrointestinal bleeding, vomiting blood, and nausea.

Hepatic hemorrhage caused by trauma, unless there is an open wound, you can see bleeding, if there is no wound, can only be extracted through the abdomen without coagulation.

Kidney hemorrhage, caused by multiple trauma, can resolve hematuria, but sometimes not necessarily hematuria, seen, kidney injury is serious, the internal bleeding is too much, even the urine is gone, this is shock.

Hematemesis, hemoptysis, shock and other clinical manifestations.

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