咳血

    2026 年 8 月 19 日

    定义

    人们可能因各种肺部状况而咳血。血液可能呈鲜红色或粉红色并含有泡沫。也可能混有黏液。从下呼吸道咳血也称为咯血。

    咳血,哪怕只是少量咳血,也可能令人担心。不过,痰中带有少量血迹并非罕见,通常也不是严重问题。但如果您经常咳血或大量咳血,请拨打 911 或寻求急救护理。

    原因

    咯血指从肺部的某些部位咳出血液。来自其他部位(例如胃部)的血液可能看起来像是来自肺部。医务人员需要找到出血来源并确定咳血原因。

    成人咳血的较常见原因包括:

    • 支气管炎
    • 支气管扩张会导致黏液积聚,可能带有血丝,并增加感染风险
    • 肺炎 — 发生在一侧或双侧肺部的感染

    咳血的其他可能原因包括以下状况和疾病:

    人们也可能因以下原因咳血:

    • 胸部受伤。
    • 药物使用,如可卡因。
    • 异物,即进入体内的原本不属于身体的某种物体或物质。
    • 肉芽肿性多血管炎
    • 寄生虫感染。

    医务人员可根据您的症状做出诊断。

    Causes shown here are commonly associated with this symptom. Work with your doctor or other health care professional for an accurate diagnosis.

    何时就医

    如果您出现咳血,请联系医务人员。医务人员可以确定其原因是轻微还是较严重。如果您咳血量较大或出血无法停止,请拨打 911 或当地急救电话。

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