2006, Number 1
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Rev Mex Cir Pediatr 2006; 13 (1)
Manage Surgical of the Hemoptysis
Santiago-Romo JE, Zaldívar-Cervera JA, Mora-Fol JR, Torres-Díaz JS, Vásquez-Contreras JA
Language: Spanish
References: 11
Page: 6-11
PDF size: 156.49 Kb.
ABSTRACT
Introduction: The hemoptysis of infectious cause in pediatrics, is the most frequent. That of origin vascular squatter 7-10%, reason why need intensive handling early in such a way to avoid the asphyxia for the one bled and obstruction of the air road. Inside the causes of vascular hemoptysis they highlight heart malformations. Material and Methods: Report of 3 cases:
Case 1: Feminine of 14 years with bigger hemoptysis, Dx: Atresia right lung artery Tx: Neumonectomy right.
Case 2: female of 11 years with massive hemoptysis Dx: Aneurisma of the artery lung right. Tx: Right Lobectomy inferior.
Case 3: feminine of 8 years of age, with more hemoptysis Hemorrhage lung idiopatic, Tx is classified: right superior lobectomy.
Results: Evidence of more and more massive hemoptysis, the studies of Rx without alterations, the TAC, normal, Angiografy: it shows atresia lung right and aneurisma of the artery lung right.
Discussion: It is important to discard the hemoptysis of infectious origin to begin protocol of vascular hemoptysis where simple and contrasted radiological studies, broncoscopy are included. The hemoptysis that causes hemodynamic uncertainty requires a surgical treatment early.
REFERENCES
Shunsuke Endo, Shin-ichi Otani, Noriko Saito, Tsuyoshi Hasegawa, Yoshihiko Kanai, Yukio Sato, et al. Management of massive hemoptysis in a thoracic surgical unit. E Journal of Cardiothorac Surg 2003; 23:467-472
Jacques Jougon, Michel Ballester, Frederic Delcambre, Tarun Mac Bride, Philippe Valat, Francis Gomez, et al. Massive hemoptysis: what place for medical and surgical treatment. E Journal of Cardiothorac Surg 2002; 22: 345-351
A.Fidan, S.Ozdogan, O. Orug, B. Salpeci, Z. Ocal and B.Caglayan. Hemoptysis: a retrospective analysis of 108 cases. Resp Med 2002; 96: 677 – 680
S.D. Cohle,T.Colby, Fatal hemoptysis from Behcet disease in a child, Cardiov Pathol 2002; 11: 296 – 299.Santiago RJE, Zaldívar CJA, Mora FJR, Torres DJS, Vásquez CJA
Essam Farghly, MD,and Michael Bousamra II, MD, Hemoptysis Resulting From Unilateral Pulmonary Artery Agenesis, Ann Thorac Surg 2002; 4: 255 – 257.
Dr. Rubén Sauceda Lumbreras, Dr. Juan Urueta Robledo, Dr. Héctor Villareal Velarde, Hemoptisis, clasificación y manejo. Rev Inst Nal Enf Resp Méx 1993; 6: 53 – 59.
M Sood, JR Clarke and MS Murphy. Covert Biting of the buccal mucosa masquerading as haematemesis or haemoptysis in children. Act Paediatr 1999; 88: 1038 – 1040.
Montana E, Etzel RA, Allan T, et al. Enviromental risk factors associated with pediatric idiopatic pulmonary hemorrhage and hemosiderosis in a Cleveland community. Pediatric 1997; 99: E5.
Leung A.K.C., Wong A. L., Boag G. S., Beck R. Hemoptysis in children: What are the possible causes?. J. of Resp.Dis 2002; 4: 69 – 77.
Jerome W. Thompson, MBA MD, Chi D. Nguyen, MD, Rande H, Lazar, MD, Rose Mary Stocks, Pharmd, MD, Robert A. Schoumacher, MD et al. Evaluation and Management of hemoptysis in infants and children 1996; 105: 516 – 520.
Chávez, Héctor MD; Gomara Roberto Enrique; Plouff, Robert MD,MPH. A 4-week-old infant with idiopatic pulmonary hemorrhage. Ped Emerg Care 2000; 16: 42 – 44. Aplicación de Cateter de Teckhoff Laparoscopico. Una alternativa en Pediatria