Bleeding internal - outpouring of a blood in a lumen of an anatomic cavity or a hollow organ at mechanical damage of arterial or venous trunks, arrosions of vessels, break aneurysms.

Bleeding gastrointestinal. In 85 % of cases the bleeding point is localized in an esophagus, a stomach or a duodenum, in 14 % - in a colonic intestine and in 1 % - in a small bowel. Bleedings from the top department of a digestive tube can be caused by a peptic ulcer of a stomach or a duodenum (68 %), a varicose phlebectasia of an esophagus and a cardial department of a stomach (12 %), an erosive gastritis, polyps, cancer tumours, etc. (20 %). In thin and a colon of a bleeding can be caused by diverticulums thin and a colon, polyps, a cancer, a sarcoma, an angioma, a myoma, a carcinoid, a nonspecific ulcerative colitis, illness the Crone, break of aortic aneurysms, clottages. Signs are caused by local displays of a bleeding (a vomiting « a coffee ground ») and the general phenomena caused by depression of volume of the circulating blood. Local displays of a bleeding: At localization of a bleeding point in a proximal department of a stomach there is a vomiting all over again « a coffee ground », and then not changed blood with clots.

Bleedings in an abdominal cavity. There are two mechanisms of occurrence of a shock which complicate each other: a hemorrhagic shock and a neurogenic shock. The reasons - traumas of parenchymatous organs (a liver, a lien); the broken extrauterine pregnancy, break of an aortic aneurysm, break of a hemangioma or other tumour of a liver, spontaneous break of a lien at a malaria. Signs are characteristic for an internal bleeding (delicacy, a giddiness, cold sweat, a tachycardia, an arterial hypotension, a collapse). At a profuse bleeding there can be an abdominal pain.

Bleeding pulmonary - an expectoration of a blood. It is observed at a cancer of a lung, alien bodies of bronchuses, an aortic aneurysm, mitral heart diseases (stenosis), an infarct of a lung, a gangrene of a lung, bronchiectasias, an adenoma of a bronchus, a tuberculosis, pulmonary localization of an endometriosis synchronously with a menses. Signs, current. The expectoration of a blood « a full mouth » or occurrence of streaks of a blood in a sputum forces to search for one of listed above diseases.

The bleeding external (from a wound) occurs from the damaged vessels at the open mechanical traumas or at disturbance of permeability of their wall. By the form bleedings divide on arterial, venous and capillary. Capillary bleedings from parenchymatous organs name parenchymatous. Danger of a bleeding consists not so much in loss of erythrocytes, how many in decrease of volume of a circulating blood and hemodynamic disturbances. The spouting, a pulsing jet of a blood in a combination to scarlet color, is an attribute of an arterial bleeding. At a bleeding the blood also can follow from large veins of the top half of body an intermittent jet, but synchronously with respiratory movements, instead of with pulse.

The parenchymatous bleeding arises at damage of parenchymatous organs (a liver, a lien, kidneys). Blood vessels of these organs are intimally bound to a parenchyma, therefore they are not fallen down, the bleeding happens usually plentiful, long, stops with greater work.