HEMOPTYSIS: HOW TO MANAGE ?

Authors

  • R S Dhaliwal Department of Cardiovascular & Thoracic Surgery, Universal College of Medical Sciences & Teaching Hospital, Bhairahawa

DOI:

https://doi.org/10.3126/jucms.v3i2.14292

Keywords:

Endobronchial measures, Hemoptysis, Physiological lung exclusion, Pulmonary, Tuberculosis

Abstract

Hemoptysis is the expectoration of blood coming from tracheobronchial tree or pulmonary parenchyma. It is one important symptom which brings the patient to a doctor quickly as it frightens the patient and his family very much. It may be streaky or massive ( more than 600ml in 24 hrs ) which can be dangerous to life. Pulmonary tuberculosis remains number one  cause  of hemoptysis in  developing countries. CT Scan chest and bronchoscopy  can give  most of 

information in these patients. Massive hemoptysis is life threatening and requires prompt treatment. Number of 

endobronchial techniques like ice cold saline lavage, balloon tamponade and bronchial artery embolization have been devised to temporarily control hemoptysis. Surgery remains the treatment of choice and pulmonary resection has been the most effective method for control of massive hemoptysis and prevention of recurrent hemoptysis in majority of  patients. Surgical rather than medical  methods reduce  patient's  mortality  rates  due to  massive

hemoptysis. Newer technique of physiological lung exclusion2   has given  much better results than standard lung

resection for hemoptysis with minimal mortality and morbidity.

 

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Author Biography

R S Dhaliwal, Department of Cardiovascular & Thoracic Surgery, Universal College of Medical Sciences & Teaching Hospital, Bhairahawa

Professor

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Published

2016-01-11

How to Cite

Dhaliwal, R. S. (2016). HEMOPTYSIS: HOW TO MANAGE ?. Journal of Universal College of Medical Sciences, 3(2), 47–52. https://doi.org/10.3126/jucms.v3i2.14292

Issue

Section

Review Articles