RESUMO
La hemoptisis masiva es una situación clínica alarmante en la que la asfixia por aspiración de sangre constituye la principal amenaza para la vida. Su etiología requiere un amplio diagnóstico diferencial y queda sin determinar en un 5-20% de los casos. La hipoxemia y el resangrado son complicaciones que pueden ser mortales. Presentamos el caso de un paciente de 68 años de edad sin antecedentes patológicos de interés, que pudo ser tratado con éxito de las complicaciones de una hemoptisis masiva gracias a un consenso multidisciplinar(AU)
Massive hemoptysis is an alarming event in which asphyxiation due to aspiration of blood is the main threat. The differential diagnosis taking into consideration a wide range of potential causes is required, and in 5% to 20% of cases, the reason for bleeding is never established. Hypoxemia and rebleeding are the main life-threatening complications. We describe the case of a 68-year-old man with no relevant medical history whose massive hemoptysis and complications were treated successfully by a multidisciplinary team(AU)
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Hemoptise/complicações , Hemoptise/diagnóstico , Hemoptise/terapia , Diagnóstico Diferencial , Embolização Terapêutica/instrumentação , Embolização Terapêutica/métodos , Angiografia/instrumentação , Angiografia , Broncoscopia/métodos , Broncoscopia , Radiografia Torácica , Pulmão/patologia , PulmãoRESUMO
Massive hemoptysis is an alarming event in which asphyxiation due to aspiration of blood is the main threat. The differential diagnosis taking into consideration a wide range of potential causes is required, and in 5% to 20% of cases, the reason for bleeding is never established. Hypoxemia and rebleeding are the main life-threatening complications. We describe the case of a 68-year-old man with no relevant medical history whose massive hemoptysis and complications were treated successfully by a multidisciplinary team.
Assuntos
Tratamento de Emergência , Hemoptise/terapia , Equipe de Assistência ao Paciente , Idoso , Humanos , Masculino , Índice de Gravidade de DoençaRESUMO
La vía más común de acceso al tórax para la mayor parte de intervenciones sobre los pulmones, esófago y aorta torácica ha sido tradicionalmente la toracotomía posterolateral. Su predicamento hasta ahora se debe a que es la incisión que mejor control ofrece sobre todos los elementos del hilio pulmonar, además de facilitar una perspectiva amplia de toda la cavidad torácica interesada. Se resumen en este artículo los procedimientos básicos para la realización de una toracotomía posterolateral estándar
The most common approach to the thorax for most interventions performed to treat the lungs, esophagus and thoracic aorta has traditionally been a posterolateral thoracotomy. The prominent position it has enjoyed up until now is due to its being the incision that offers the greatest control over all the elements of the pulmonary hilus, as well as providing a broad perspective of all the thoracic cavity in question. In this article we summarise the basic procedures for performing a standard posterolateral thoracotomy
