The doctor appealed that people should pay special attention to chronic cough, seek medical treatment as soon as possible, find out the cause of cough and treat it in time. Dr. Wu Baigang, the chief surgeon of Taipei Tzu Chi Hospital, pointed out that it is quite rare for patients to suffer from blood vessel rupture and bleeding due to excessive cough, chronic cough and improper abdominal muscle exertion. After detailed examination by computer tomography, a mass with a diameter of about 7.5 cm was found, and the bleeding amount was about 300-400 ㏄. It was judged that the blood clot appeared rapidly in a short time, which ruled out the possibility of tumor and infection purulent, and it should be "rectus abdominis hematoma". No bleeding was confirmed after angiography. The patient was hospitalized to stop bleeding and went home a few days ago. When he returned to the clinic, he found that the hematoma had absorbed itself.
Dr. Wu Baigang pointed out that the causes of abdominal hematoma can be divided into traumatic and non-traumatic ones, and 30-50% of non-traumatic ones are related to cough. Improper exertion of abdominal muscles during cough or posture change leads to muscle rupture or blood vessel rupture. If there is a hematoma in rectus abdominis, it is called "rectus abdominis hematoma". The symptoms are acute abdominal pain with sudden abdominal mass or cyanosis, and the most common people are the elderly or patients who use anticoagulants. Most patients can stop bleeding after thrombosis, but patients with poor coagulation function may continue to bleed, appear shock and be life-threatening, and need vascular embolization or surgery to remove the thrombus.