Management of Massive Hemoptysis: Analyses of 58 Patients
| Autor: | Nurettin Karaoğlanoğlu, İrfan Taştepe, Ertan Aydin, Ülkü Yazici, Erdal Yekeler, Alkin Yazicioglu |
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| Rok vydání: | 2016 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Bronchiectasis Tuberculosis genetic structures business.industry Medical record medicine.medical_treatment Mortality rate medicine.disease Surgery medicine.artery Etiology medicine otorhinolaryngologic diseases Embolization sense organs Erratum Complication Bronchial artery business skin and connective tissue diseases psychological phenomena and processes |
| Zdroj: | Turkish Thoracic Journal. 17:148-152 |
| ISSN: | 1308-5387 1302-7808 |
| DOI: | 10.5578/ttj.30517 |
| Popis: | OBJECTIVES The objective was to describe changing patterns of etiological factors and treatment modalities for massive hemoptysis. MATERIAL AND METHODS From January 2008-December 2012, the medical records of 58 massive hemoptysis patients were reviewed. RESULTS Fifty-eight patients, 44 were men (75.9%) and 14 were women (24.1%), with a mean age of 51.4 years (range= 19-84 years), were divided into three groups; surgical management (n= 37, 63.8%), conservative management (n= 14, 24.1%) and bronchial artery embolization (n= 6, 10.4%). One case (1.7%) had combined treatment modality; bronchial artery embolization was followed by surgical resection. Anatomical lung resections were the most preferred resection type in the surgical management group (n= 34, 91.9%). The most common etiological factor was bronchiectasis (n= 19, 32.8%); followed by bronchial cancer (n= 14, 24.1%). The duration of hospitalization in the surgical management group was 11.4 days (range= 4-24); whereas in the bronchial artery embolization group, hospitalization was only four days (range= 2-7) (p< 0.01). Prolonged air leak (n= 7; 18.9%) was the most common complication in the surgical management group. CONCLUSION We emphasize that bronchiectasis was leading cause of massive hemoptysis. Surgical treatment remains the definitive therapy in the management of massive hemoptysis with decreased mortality rates over decades; whereas bronchial artery embolization is an effective therapeutic tool. |
| Databáze: | OpenAIRE |
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