The unpredictable and potentially lethal course of massive haemoptysis requires prompt resuscitation, airway protection, and correction of coagulopathy. Early investigation with bronchoscopy is recommended for localisation and control of bleeding by the application of topical adrenaline, balloon tamponade, or selective lung intubation. There is increasing acceptance of bronchial artery embolisation as the treatment of choice for acute massive haemoptysis not controlled by conservative treatment, when a bronchial artery can be identified as the source of bleeding. Surgical resection remains the treatment of choice for particular conditions where the bleeding site is localised and the patient is fit for lung resection.
机构:
Royal Brompton & Harefield NHS Trust, Sleep & Ventilat Unit, London SW3 6NP, EnglandRoyal Brompton & Harefield NHS Trust, Sleep & Ventilat Unit, London SW3 6NP, England
Hart, N
Simonds, AK
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Royal Brompton & Harefield NHS Trust, Sleep & Ventilat Unit, London SW3 6NP, EnglandRoyal Brompton & Harefield NHS Trust, Sleep & Ventilat Unit, London SW3 6NP, England
机构:
Royal Victoria Infirm, Dept Anaesthesia, Newcastle Upon Tyne NE1 4LP, Tyne & Wear, EnglandRoyal Victoria Infirm, Dept Anaesthesia, Newcastle Upon Tyne NE1 4LP, Tyne & Wear, England
机构:Univ Toronto, St Michaels Hosp, Interdepartmental Div Crit Care, Dept Crit Care, Toronto, ON M5B 1W8, Canada
Whitehead, T
Slutsky, AS
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Univ Toronto, St Michaels Hosp, Interdepartmental Div Crit Care, Dept Crit Care, Toronto, ON M5B 1W8, CanadaUniv Toronto, St Michaels Hosp, Interdepartmental Div Crit Care, Dept Crit Care, Toronto, ON M5B 1W8, Canada