medigraphic.com
A partir del año 2010, la Revista Oficial del INER cambió a NCT (Neumología y Cirugía de Tórax)

 Ver actualización

2006, Number 2

<< Back Next >>

Rev Inst Nal Enf Resp Mex 2006; 19 (2)

Review of twenty one cases of hemoptysis seen in one year, with emphasis on six with massive hemoptysis

Machado VL, Trujillo CJ, Pérez RA, Navarro RF, Cueto RG, Cicero SR

Language: Spanish
References: 22
Page: 108-112
PDF size: 115.93 Kb.


ABSTRACT

During 2005 we admitted 21 patients with hemoptysis, six of them with massive hemoptysis (more that 600 mL in 48 h). The cause of bleeding was pulmonary tuberculosis in nine, bronchiectasias in four, tumors in three, aspergillomas in two and one of each due to bronchitis, pneumoniae and thoracic trauma. All had fiberoptic bronchoscopy; five had bronchial artery embolization (BAE), four had pulmonary resection and one bronchial tamponade. Two with massive bleeding died due to asphyxia before BAE or surgery could be performed. The rest are alive and well. The management of hemoptysis depends on the amount of blood, the etiology and the conditions of the patient; therapeutic options available are medical treatment, tracheal intubation, interventional endoscopy, BAE and surgery. Patients with massive hemoptysis should be treated by board certified pulmonologists critical-care specialists.


REFERENCES

  1. Dweik RA, Stoller JK. Role of bronchoscopy in massive hemoptysis. Clin Chest Med 1999;20:89-105.

  2. Mitchell DM, Emerson CJ, Collyer J, Collins JV. Fiberoptic bronchoscopy: ten years on. Br Med J 1980;281:360-363.

  3. Nava M, Dena EJ, Cicero SR. Embolización de las arterias bronquiales en hemoptisis incoercible por tuberculosis. Rev Inst Nal Enf Resp Mex 1993;6:75-80.

  4. Melendez TJ, Padua GA, Velasco RVM, et al. Survival after bronchial arterial embolization in massive hemoptysis. J Bronchol 2003;10:17-21.

  5. Baltazares LME, Serna SHI, García GML, Villalpando CJJ, Rodríguez CH, Ortega MJ. Tratamiento de la hemoptisis masiva con embolización de arterias bronquiales. Experiencia de cinco años. I. Rev Inst Nal Enf Resp Mex 2004; 17:164-172.

  6. López SE, García Sancho FMC, Valdez V, Torres CA, Castillejos MJ, Salazar LMA. Motivos de hospitalización en pacientes con tuberculosis pulmonar en un hospital de referencia. Rev Inst Nal Enf Resp Mex 2005;18: 277-282.

  7. Saldías F, Leiva I. Uso de la TAC de tórax en la evaluación de pacientes con hemoptisis no invasiva. Rev Med Chile 1997;125:174-182.

  8. Jean-Baptiste E. Clinical assessment and management of massive hemoptysis. Crit Care Med 2000;28:1643-1647.

  9. Trujillo-Chávez J. Morbimortalidad por hemoptisis en el Hospital General de México (tesis). México: UNAM;2004.

  10. 10.Patel SR, Stoller JK. The role of bronchoscopy in hemoptysis. In: Wang KP, Metha AC, Turner JF, editors. Flexible bronchoscopy. 2nd ed. USA: Blackwell Science;2004.p.210-224.

  11. 11.Knott-Craig CJ, Oostuizen JG, Rossouw G, Joubert JR, Barnard PM. Management and prognostic of massive hemoptysis. Recent experience with 120 patients. J Thorac Cardiovasc Surg 1993;105:394-397.

  12. 12.Remy J, Remy-Jardin M, Voisin C. Endovascular management of bronchial bleeding. In: Butler J, editor. The bronchial circulation. NY: Marcel Dekker; 1992.p.667-723.

  13. 13.Conlan AA, Hurwitz SS. Management of massive hemoptysis with the rigid bronchoscope and cold saline lavage. Thorax 1980;35:901-904.

  14. 14.Haro M, Jimenez J, Tornero A, Vizcaya M, Tirado R, Cros T. Usefulness of computerized tomography and bronchoscopy in patients with hemoptysis. Analysis of 482 cases. An Med Interna 2002;19:59-65.

  15. 15.McGuinness G, Beacher JR, Harkin TJ, Garay SM, Rom WN, Naidich DP. Hemoptysis: prospective highresolution TC/bronchoscopic correlation . Chest 1994;105:1155-1162.

  16. 16.Cahill BC, Ingbar DH. Massive hemoptysis. Assessment and management. Clin Chest Med 1994;15:147-167.

  17. 17.Deffebach ME, Charan NB, Lakshminarayan S, Butler J. The bronchial circulation. Small, but a vital attribute of the lung. Am Rev Respir Dis 1987;135: 463-481.

  18. 18.Cudkowicz L. The human bronchial circulation in health and disease. Baltimore: Williams & Wilkins;1968.

  19. 19.Prakash UBS, Freitag L. Hemoptysis and bronchoscopy-induced hemorrhage. In: Prakash UBS, editor. Bronchoscopy. NY: Raven Press; 1994.p.227-252.

  20. 20.Caudwell EW, Sireckert RG, Lininger RE, et al. An anatomic study of 150 human cadavers. Surg Gynecol Obstet 1948;86:395-402.

  21. 21.Charan NB, Cravalho PG. The bronchial circulation in chronic lung infections. In: Butler J, editor. The bronchial circulation. NY: Marcel Dekker;1992.p.535-549.

  22. 22.Jougon J, Ballester M, Delcambre F, et al. Massive hemoptysis: what place for medical and surgical treatment. Eur J Cardiothorac Surg 2002;22:345-351.




2020     |     www.medigraphic.com