What Is Internal Bleeding?

Internal hemorrhage is a type of bleeding. The blood flowing out of the blood vessels stays inside the body but is not discharged to the outside, such as cerebral hemorrhage, adrenal hemorrhage, pancreatic bleeding, etc., including hemoptysis, vomiting blood, stool blood, hematuria, vaginal bleeding, etc. It is mainly caused by violence, hypertension, and organ disease. The patient presented with pale skin, cold and cold, indifferent expression, low speech, light breathing, irritability, thirst, but no wounds on the body surface. The principle of internal bleeding treatment is timely and effective hemostasis, which generally depends on drugs and surgery to stop bleeding.

Basic Information

English name

internal hemorrhage

Visiting department

Emergency Department

Common causes

Caused by violence, hypertension, organ disease, etc.

Common symptoms

Pale, damp skin, indifferent expressions, low speech, light breathing, irritability, thirst, etc.

Causes of internal bleeding

1. The role of violence.

2. Hypertension.

3. Organ lesions.

Differential diagnosis of internal bleeding

Hypertensive intraventricular hemorrhage

The majority of patients with hypertensive intraventricular hemorrhage have a significant history of hypertension. Sudden onset in middle age and above, relatively severe conscious disturbance, hemiplegia, aphasia are more obvious, and cerebral angiography has no intracranial aneurysms and deformed blood vessels.

2. Intracranial neoplastic intraventricular hemorrhage

It is more common in adults. The recovery process of intraventricular hemorrhage is not typical or the cerebral edema subsides in the acute phase of intraventricular hemorrhage. The signs of consciousness or localization do not improve. On examination, bilateral intracranial pressure such as bilateral optic disc edema is manifested. Patients with metastatic lesions or postoperative radiotherapy of brain tumors should consider the possibility of intraventricular hemorrhage due to brain tumor bleeding. If necessary, intensive CT scan can be used to confirm the diagnosis.

Internal bleeding examination

Physical examinations, mechanical examinations, blood routine examinations, etc. also need to cooperate with X-ray and CT examinations.

Internal bleeding treatment principles

The principle of treatment is timely and effective hemostasis. Internal bleeding generally depends on drugs and surgery to stop bleeding. General care is as follows:

1. Absolute bed rest should be caused by a large amount of vomiting blood; if the shock occurs, the foot of the bed can be raised to make the head of the bed slightly lower;

2. Those with hemoptysis should lie still, with their heads tilted to one side, and pat their backs to remove blood clots in the nose and mouth to keep the airway open and give the patient spiritual comfort. Do not move the patient, cough lightly when coughing, do not tolerate, and do not swallow blood.

3. If there is a small amount of vaginal bleeding, no treatment is needed; if you have a lot of bleeding, pay attention to the patient's mental condition, check the pulse, and let the patient absolutely rest in bed, looking pale and sweating, you should lower your head, raise your feet and drink. Light warm saline water, keep warm, take appropriate sedatives or take hemostatic drugs at the same time.

4. Those who have bleeding in the stool should quit smoking, alcohol and pepper, and rest quietly.

5. Hemorrhage in the chest, take a semi-sitting position; hemorrhage in the abdominal cavity, lower limbs elevated.