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Tuber Lung Dis ; 76(4): 344-8, 1995 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-7579317

RESUMO

BACKGROUND: Massive hemoptysis (defined as blood loss greater than 600 ml/24h) is said to have a fatal outcome in up to 85% of patients when managed only medically. METHODS: A retrospective patient chart study was undertaken to analyse underlying pathology, management and outcome of hemoptysis patients in a hospital with no thoracic surgical, bronchoscopic or embolisation facilities. RESULTS: 63 patients were admitted for hemoptysis during a 2.5 year study period. Tuberculosis and sequelae of previous tuberculosis accounted for 65% of the cases. The patients with expectoration of more than 600 ml/24h had a shorter duration of hemoptysis (P = 0.033) and more often a history of tuberculosis (P = 0.023). The mortality rate was 6% (4/63 patients). Recurrent bleeding was not frequent (11%) and never severe enough for admission. CONCLUSIONS: Hemoptysis in a Third World city hospital is mainly caused by infectious disease. Under the above-mentioned circumstances, in view of a low mortality and recurrence rate, conservative treatment of hemoptysis in in-patients seems justified.


Assuntos
Países em Desenvolvimento , Hemoptise/etiologia , Adulto , Feminino , Hemoptise/mortalidade , Hemoptise/terapia , Hospitais Urbanos , Humanos , Masculino , Pessoa de Meia-Idade , Nepal/epidemiologia , Recidiva , Estudos Retrospectivos , Resultado do Tratamento , Tuberculose Pulmonar/complicações
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