The pulmonary physician in critical care • Illustrative case 7:: Assessment and management of massive haemoptysis

被引:104
|
作者
Lordan, JL [1 ]
Gascoigne, A
Corris, PA
机构
[1] Freeman Rd Hosp, Dept Resp Med, Newcastle Upon Tyne NE7 7DN, Tyne & Wear, England
[2] Freeman Rd Hosp, Dept Resp Med & Intens Care, Newcastle Upon Tyne NE7 7DN, Tyne & Wear, England
关键词
D O I
10.1136/thorax.58.9.814
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
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.
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页码:814 / 819
页数:6
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