Surgery for hemoptysis in various pulmonary tuberculous lesions: a prospective study
| Autor: | Waheed Shouman, Abdel-Maged Salem, Alaa Brik, Amira Shoukry |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine Hemoptysis medicine.medical_specialty Time Factors Tuberculosis medicine.medical_treatment Bronchopleural fistula Severity of Illness Index Resection Lesion Pneumonectomy Recurrence Humans Medicine In patient Prospective Studies Prospective cohort study Tuberculosis Pulmonary Chi-Square Distribution Lung business.industry Middle Aged Pleural Diseases medicine.disease Surgery Treatment Outcome medicine.anatomical_structure Egypt Female Bronchial Fistula medicine.symptom Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business |
| Zdroj: | Interactive CardioVascular and Thoracic Surgery. 13:276-279 |
| ISSN: | 1569-9293 |
| Popis: | Hemoptysis due to pulmonary tuberculous lesions is a common cause of morbidity, and occasionally mortality. The aim of this study is to evaluate the surgical outcome of hemoptysis in patients with various tuberculous pulmonary lesions. A total of 45 cases who underwent surgical procedures for various pulmonary tuberculous lesions with hemoptysis were included in this study. Sixteen patients underwent surgical management within one week of the attack of hemoptysis (group A), the other 29 patients underwent surgery one week after the attack (group B). Hemoptysis was classified into minor, major and massive hemoptysis. Major and massive hemoptysis were the common presentation of group A and tuberculous cavities were the most common lung lesions in both groups (37.7%). Lobectomy was the main surgical procedure performed in both groups (51.1%). Bronchopleural fistula occurred in one case in each group after right pneumonectomy. There was one case (6.2%) of mortality in group A. Tuberculous cavity is the common pulmonary lesion which can result in major and massive hemoptysis, therefore, we recommend early surgical resection of tuberculous cavities to avoid life-threatening hemoptysis. Limited resection should be avoided to prevent recurrence. |
| Databáze: | OpenAIRE |
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