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Кровь может изливаться: \n* в естественную полость организма (желудок, мочевой пузырь, матку, лёгкие, полость сустава и пр.) [2](https://www.KrasotaiMedicina.ru/diseases/traumatology/internal-bleeding); \n* в пространство, искусственно образованное излившейся кровью (забрюшинное, межмышечное) [2](https://www.KrasotaiMedicina.ru/diseases/traumatology/internal-bleeding). \n\nВнутреннее кровотечение может развиться в любом органе или ткани тела, но чаще всего встречается в брюшной полости, мозге, лёгких и суставах [1](https://semeynaya.ru/directions/khirurgiya/vnutrennee-krovotechenie/).\n\n\n\n## Причины\nПричиной внутреннего кровотечения может стать **травма** или **хроническое заболевание** [2](https://www.KrasotaiMedicina.ru/diseases/traumatology/internal-bleeding)[6](https://www.medicina.ru/patsientam/zabolevanija/vnutrennee-krovotechenie/). Например: \n* **Посттравматическое кровотечение в брюшную полость** — развивается из-за тупой травмы живота с повреждением селезёнки и печени, реже — поджелудочной железы, кишечника или брыжейки (при ударе, падении с высоты, автомобильной аварии) [2](https://www.KrasotaiMedicina.ru/diseases/traumatology/internal-bleeding). \n* **Кровотечение в плевральную полость** — обычно возникает при множественных переломах рёбер с повреждением межрёберных сосудов и плевры [2](https://www.KrasotaiMedicina.ru/diseases/traumatology/internal-bleeding). \n* **Кровотечение в черепную область** — происходит после черепно-мозговых травм [6](https://www.medicina.ru/patsientam/zabolevanija/vnutrennee-krovotechenie/).\n\n## Симптомы\nСимптомы внутреннего кровотечения зависят от его локализации и степени кровопотери [2](https://www.KrasotaiMedicina.ru/diseases/traumatology/internal-bleeding). Некоторые общие признаки: \n* общая слабость, сонливость [2](https://www.KrasotaiMedicina.ru/diseases/traumatology/internal-bleeding)[11](https://illness.DocDoc.ru/vnutrennee_krovotechenie); \n* бледность кожи и слизистых оболочек [2](https://www.KrasotaiMedicina.ru/diseases/traumatology/internal-bleeding)[11](https://illness.DocDoc.ru/vnutrennee_krovotechenie); \n* головокружение [2](https://www.KrasotaiMedicina.ru/diseases/traumatology/internal-bleeding)[11](https://illness.DocDoc.ru/vnutrennee_krovotechenie); \n* холодный пот [2](https://www.KrasotaiMedicina.ru/diseases/traumatology/internal-bleeding)[11](https://illness.DocDoc.ru/vnutrennee_krovotechenie); \n* жажда [2](https://www.KrasotaiMedicina.ru/diseases/traumatology/internal-bleeding)[11](https://illness.DocDoc.ru/vnutrennee_krovotechenie); \n* потемнение в глазах [2](https://www.KrasotaiMedicina.ru/diseases/traumatology/internal-bleeding)[11](https://illness.DocDoc.ru/vnutrennee_krovotechenie). \n\nПризнаки зависят от того, в какую полость истекает кровь [11](https://illness.DocDoc.ru/vnutrennee_krovotechenie). Например, тошнота и рвота тёмной кровью могут свидетельствовать об истечении крови в полость желудка либо пищевода, кашель с яркой лёгочной кровью — признак лёгочного кровотечения [11](https://illness.DocDoc.ru/vnutrennee_krovotechenie).\n\n## Диагностика\nПри подозрении на внутреннее кровотечение необходимо **срочно обратиться к врачу** [11](https://illness.DocDoc.ru/vnutrennee_krovotechenie). Выбор методов исследования зависит от предполагаемой причины кровотечения и тяжести ситуации [11](https://illness.DocDoc.ru/vnutrennee_krovotechenie). Некоторые методы: \n* детальный осмотр с измерением пульса и артериального давления [11](https://illness.DocDoc.ru/vnutrennee_krovotechenie); \n* лабораторные исследования гематокрита, уровня гемоглобина и количества эритроцитов [11](https://illness.DocDoc.ru/vnutrennee_krovotechenie); \n* пальцевое исследование прямой кишки, зондирование желудка, колоноскопия — при подозрении на внутреннее кровотечение желудочно-кишечного тракта [11](https://illness.DocDoc.ru/vnutrennee_krovotechenie); \n* бронхоскопия — при заболевании лёгких [11](https://illness.DocDoc.ru/vnutrennee_krovotechenie); \n* цистоскопия — при истечении крови в мочевой пузырь [11](https://illness.DocDoc.ru/vnutrennee_krovotechenie).\n\n## Лечение\n**Лечение внутреннего кровотечения зависит от его причин и локализации** [1](https://semeynaya.ru/directions/khirurgiya/vnutrennee-krovotechenie/). В некоторых случаях может потребоваться **хирургическое вмешательство**, чтобы остановить кровотечение и удалить образовавшуюся гематому [1](https://semeynaya.ru/directions/khirurgiya/vnutrennee-krovotechenie/). В других случаях может быть достаточно **консервативного лечения**, включающего введение жидкости и трансфузию крови [1](https://semeynaya.ru/directions/khirurgiya/vnutrennee-krovotechenie/). \n\n**Важно**: при подозрении на внутреннее кровотечение необходимо **срочно госпитализировать пострадавшего** [3](https://ipo5.ru/press-center/article/pervaya-pomoshch-pri-krovotecheniyakh/). До приезда скорой помощи нужно обеспечить покой, приложить холод к животу или груди [3](https://ipo5.ru/press-center/article/pervaya-pomoshch-pri-krovotecheniyakh/). **Запрещено** греть больную область, ставить клизмы, давать слабительные или вводить в организм препараты, стимулирующие сердечную деятельность [2](https://www.KrasotaiMedicina.ru/diseases/traumatology/internal-bleeding).","linksData":[{"sourceId":1,"url":"https://semeynaya.ru/directions/khirurgiya/vnutrennee-krovotechenie/","shownUrl":"https://semeynaya.ru/directions/khirurgiya/vnutrennee-krovotechenie/","title":"Внутреннее кровотечение","shortUrl":"semeynaya.ru","isTranslated":false,"description":"","greenUrl":"semeynaya.ru"},{"sourceId":2,"url":"https://www.KrasotaiMedicina.ru/diseases/traumatology/internal-bleeding","shownUrl":"https://www.KrasotaiMedicina.ru/diseases/traumatology/internal-bleeding","title":"Внутреннее кровотечение - причины, симптомы, диагностика и лечение","shortUrl":"KrasotaiMedicina.ru","isTranslated":false,"description":"","greenUrl":"KrasotaiMedicina.ru"},{"sourceId":3,"url":"https://ipo5.ru/press-center/article/pervaya-pomoshch-pri-krovotecheniyakh/","shownUrl":"https://ipo5.ru/press-center/article/pervaya-pomoshch-pri-krovotecheniyakh/","title":"Первая помощь при кровотечениях","shortUrl":"ipo5.ru","isTranslated":false,"description":"","greenUrl":"ipo5.ru"},{"sourceId":4,"url":"https://mp.sgmu.ru/malyy-universitet-sgmu/incoming/materials/lection_2.pdf","shownUrl":"https://mp.sgmu.ru/malyy-universitet-sgmu/incoming/materials/lection_2.pdf","title":"Лекция 5. 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