The Clinical Effects of Surgical Treatment for Hemoptysis due to Inflammatory Lung Disease / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 144-149, 2010.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-63132
Responsible library:
WPRO
ABSTRACT
BACKGROUND:
Many studies have demonstrated the various therapeutic options for treating hemoptysis caused by inflammatory lung disease. However, there is debate over the surgical management of the ongoing hemoptysis. Therefore, we evaluated the clinical results of pulmonary resection that was done due to hemoptysis in patients with concomitant inflammatory lung disease. MATERIAL ANDMETHOD:
We performed a retrospective analysis of 75 patients who received pulmonary resection for hemoptysis and concomitant inflammatory lung disease between 2001 and 2007. The mean age was 52.1+/-12.5 years old, and the male; female ratio was 5223.RESULT:
The underlying disease was aspergilloma in 30 patients (40%), pulmonary tuberculosis in 20 patients, bronchiectasis in 18 patients and other causes in 7 patients. The surgical treatment included lobectomy in 55 patients, bilobectony in 2 patients, pneumonectomy in 17 patients and wedge resection in 1 patient. There were 3 early deaths, and the causes of death were pneumonia in 1 patient and BPF in 2 patients. The early mortality was statistically higher for such risk factors as a preoperative Hgb level <10 g/dL, COPD and an emergency operation.CONCLUSION:
In conclusion, pulmonary resection for treating hemoptysis showed the acceptable range of mortality and it was an effective method for the management of hemoptysis in patients with inflammatory lung disease. However, relatively high rates of mortality and morbidity were noted for an emergency operation, and so meticulous care is needed in this situation.
Full text:
Available
Health context:
Neglected Diseases
/
SDG3 - Target 3.3 End transmission of communicable diseases
/
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Neglected Diseases
/
Tuberculosis
/
Pneumonia
/
Tuberculosis
/
Chronic Obstructive Pulmonary Disease (COPD)
/
Other Respiratory Diseases
Database:
WPRIM (Western Pacific)
Main subject:
Pneumonectomy
/
Pneumonia
/
Tuberculosis, Pulmonary
/
Bronchiectasis
/
Retrospective Studies
/
Risk Factors
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Cause of Death
/
Pulmonary Disease, Chronic Obstructive
/
Emergencies
/
Hemoptysis
Type of study:
Etiology study
/
Observational study
/
Risk factors
Limits:
Female
/
Humans
Language:
Korean
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2010
Document type:
Article