Abstract
OBJECTIVE: Hemoptysis is the expectoration of blood originating from the pulmonary or bronchial vascular system. Hemoptysis is most commonly seen in lung cancers, tuberculosis and bronchiectasis. Also it can be an important clue for many more diseases. In this study, it was aimed to evaluate the patients who applied to our clinic with the complaint of hemoptysis.
MATERIAL AND METHODS: In our study, the clinical and radiological findings of 78 patients who applied to our hospital with the complaint of hemoptysis between 1 June 2018 and 1 June 2020 were evaluated retrospectively.
RESULTS: The total number of patients was 78, of which 13 (16.67%) were female and 65 (83.33%) were male. The mean age was 59.31 (±16.74). 58 (74.4%) patients had a history of smoking. Of these, 4 (6.9%) were female and 54 (93.1%) were male. There were mild (<30mL) hemoptysis in 27 patients, moderate (30-100mL) in 38 patients, severe (100-600mL) in 5 patients, and massive (>600mL) in 8 patients. In lung radiological imaging of patients; 35 infiltrations, 18 masses, 12 pleural effusions, 9 bronchiectasis, 8 mediastinal LAP, 1 pulmonary embolism, 1 cystic lesion were observed. The underlying pathology that cause hemoptysis in patients were; Lung cancer in 33 (42.3%) patients, pneumonia in 11 (14.1%) patients, and bronchiectasis in 9 (11.3%) patients. While only medical treatment was sufficient in 87 (87.3%) of the patients, 5 (6.4%) of the patients needed bronchial cold saline applications and 5 (6.4%) of them needed bronchial artery embolization. Mortality was observed in 8 (10.2%) of the patients.
CONCLUSIONS: It is important to determine the etiology in hemoptysis. Arrangement of medical or surgical treatment for etiology is of vital importance for patients.
Keywords
References
- 1. Erturan S. Masif Hemoptizi. Solunum. 2003;5(6):307-11.
- 2. Hirshberg B, Biran I, Glazer M, Kramer MR. Hemoptysis: etiology, evaluation, and outcome in a tertiary referral hospital. Chest. 1997;112:440-4.
- 3. Lordan JL, Gascoigne A, Corris PA. The pulmonaryphysician in critical care. Illustrative case 7: Assessmentand management of massive haemoptysis. Thorax. 2003;58:814-9.
- 4. Chun JY, Morgan R, Belli AM. Radiologicalmanagement ofhemoptysis: a comprehensivereview of diagnostic imagingandbronchial arterial embolization. Cardiovasc Intervent Radiol. 2010;33:240-50.
- 5. Fishman AP. Approach to the patient with respiratory symptoms. In: Fishman AP, ed. Fishman’s pulmonary diseases and disorders. New York: McGraw-Hill. 1998:361-94.
- 6. Fidan A, Ozdogan S, Oruc O, et al. Hemoptysis: A retrospective analysis of 108 cases. Respir Med. 2002;96:677-80.
- 7. Çelik P, Gönlügür U, Akın M, Orman A. Hemoptizili Olgularımızın Analizi. Heybeliada Tıp Bülteni. 1997;3:45-8.
- 8. Ünsal E, Köksal D, Çimen F, et al. Analysis of patients with hemoptysis in a reference hospital for chest diseases. Tüberküloz ve Toraks Dergisi. 2006;54:34-42.
- 9. Koca H, Özden SŞ, Güldaval F, et al. Hemoptizi: 311 Olguluk Bir Retrospektüf Analiz. İzmir Göğüs Hastanesi Dergisi. 2008;22(3):65-71.
- 10. Balcı A, Çilekar Ş, İbrahim Çoşğun İG. Kliniğimize Hemoptizi Şikâyetiyle Başvuran Hastalarda Hemoptizi Etyolojileri ve Tedavi Yaklaşımları. Kocatepe Tıp Dergisi. 2021;22:197- 201.
- 11. Çolak M, Aslaner MA. Hemoptizi Yakınması ile Başvuran Hastalarda Etyolojik Değerlendirme. Sakarya Tıp Dergisi. 2019;9(4):626-631.
- 12. Yoon W, Kim JA, Kim YH, et al. Bronchial and nonbronchial systemic artery embolization for life-threatining hemoptysis: a comprehensive review. Radiographics. 2002;22:1395-409.
- 13. Özgül MA, Turna A, Yıldız P ve ark. Risk factors and recurrence patterns in 203 patients with hemoptysis Tüberküloz ve Toraks Dergisi. 2006;54:243-8.
- 14. Doğan T, Berk S, Akkurt İ. Etiological factors in hemoptysis. Cumhuriyet MedJ. 2010;32:48-53.
- 15. Johnston H, Reisz G. Chancing spectrum of hemoptysis: underlying causes in 148 patients undergoing diagnostic fiberoptic bronchoscopy. Arch Intern Med. 1989;149:1661- 8.
- 16. Özsürekçi Y, Parlakay AÖ, Cengiz AB ve ark. Hidatik Hastalıkta Atipik Prezentasyon: Hemoptizi. Turkiye Parazitol Derg. 2013;37:64-8.
- 17. Fidan A, Ozdoğan S, Oruç O ve ark. Hemoptysis: a retrospective analysis of 108 cases. Respir Med. 2002;96:677-80. 18. Bobrowitz ID, RamakrishnaS, Shim YS. Comparison of medical vs surgical treatment of major hemoptysis. Arch Intern Med. 1983;143:1343-6.
Abstract
AMAÇ: Hemoptizi pulmoner veya bronşiyal vasküler sistemden kaynaklanan kanın ağızdan gelmesidir. Hemoptizi en sık akciğer kanserleri, tüberküloz ve bronşektazide görülür. Daha birçok hastalık için önemli bir ipucu olabilmektedir. Bu çalışmada kliniğimize hemoptizi şikayeti ile başvuran hastaların değerlendirmesi amaçlandı.
GEREÇ VE YÖNTEM: Çalışmamızda hastanemize 1 Haziran 2018 – 1 Haziran 2020 arasında hemoptizi şikayeti ile müracat eden 78 hastanın klinik ve radyolojik bulgularını retrospektif olarak değerlendirildi.
BULGULAR: Toplam hasta sayısı 78 olup bunların 13 ü (%16.67) kadın, 65 i (%83.33) erkekti. Yaş ortalaması 59.31 (±16.74) idi. 58 (%74.4) hastada sigara kullanma hikayesi mevcuttu. Bunların 4 ü (%6.9) kadın, 54 ü (%93.1) erkek idi. 27 hastada hafif (<30mL), 38 hastada orta (30-100mL), 5 hastada ağır (100-600mL), 8 hastada masif (>600mL) hemoptizi mevcuttu. Hastaların akciğer radyolojik görüntülemelerinde; 35 infiltrasyon, 18 kitle, 12 plevral efüzyon, 9 bronşektazi, 8 mediastinal LAP, 1 pulmoner emboli, 1 kistik lezyon bulgusu izlendi. Hastalarda hemoptiziye neden olan patolojiler ise; 33 (%42.3) hastada akciğer kanseri, 11 (%14.1) hastada pnömoni, 9 (%11.3) hastada bronşektazi idi. Hastaların 68'sine (%87,2) sadece medikal tedavi yeterli olurken, hastaların 5'inde (%6,4) bronşiyal soğuk su uygulamalarına ve 5'inde (%6,4) bronşiyal arter embolizasyonuna ihtiyaç duyuldu. Hastaların 8'inde (%10,2) mortalite gözlendi.
SONUÇ: Hemoptizide etyolojinin tespiti önemlidir. Etiyolojiye yönelik medikal veya cerrahi tedavinin düzenlenmesi hastalar için hayati öneme sahiptir.
Keywords
References
- 1. Erturan S. Masif Hemoptizi. Solunum. 2003;5(6):307-11.
- 2. Hirshberg B, Biran I, Glazer M, Kramer MR. Hemoptysis: etiology, evaluation, and outcome in a tertiary referral hospital. Chest. 1997;112:440-4.
- 3. Lordan JL, Gascoigne A, Corris PA. The pulmonaryphysician in critical care. Illustrative case 7: Assessmentand management of massive haemoptysis. Thorax. 2003;58:814-9.
- 4. Chun JY, Morgan R, Belli AM. Radiologicalmanagement ofhemoptysis: a comprehensivereview of diagnostic imagingandbronchial arterial embolization. Cardiovasc Intervent Radiol. 2010;33:240-50.
- 5. Fishman AP. Approach to the patient with respiratory symptoms. In: Fishman AP, ed. Fishman’s pulmonary diseases and disorders. New York: McGraw-Hill. 1998:361-94.
- 6. Fidan A, Ozdogan S, Oruc O, et al. Hemoptysis: A retrospective analysis of 108 cases. Respir Med. 2002;96:677-80.
- 7. Çelik P, Gönlügür U, Akın M, Orman A. Hemoptizili Olgularımızın Analizi. Heybeliada Tıp Bülteni. 1997;3:45-8.
- 8. Ünsal E, Köksal D, Çimen F, et al. Analysis of patients with hemoptysis in a reference hospital for chest diseases. Tüberküloz ve Toraks Dergisi. 2006;54:34-42.
- 9. Koca H, Özden SŞ, Güldaval F, et al. Hemoptizi: 311 Olguluk Bir Retrospektüf Analiz. İzmir Göğüs Hastanesi Dergisi. 2008;22(3):65-71.
- 10. Balcı A, Çilekar Ş, İbrahim Çoşğun İG. Kliniğimize Hemoptizi Şikâyetiyle Başvuran Hastalarda Hemoptizi Etyolojileri ve Tedavi Yaklaşımları. Kocatepe Tıp Dergisi. 2021;22:197- 201.
- 11. Çolak M, Aslaner MA. Hemoptizi Yakınması ile Başvuran Hastalarda Etyolojik Değerlendirme. Sakarya Tıp Dergisi. 2019;9(4):626-631.
- 12. Yoon W, Kim JA, Kim YH, et al. Bronchial and nonbronchial systemic artery embolization for life-threatining hemoptysis: a comprehensive review. Radiographics. 2002;22:1395-409.
- 13. Özgül MA, Turna A, Yıldız P ve ark. Risk factors and recurrence patterns in 203 patients with hemoptysis Tüberküloz ve Toraks Dergisi. 2006;54:243-8.
- 14. Doğan T, Berk S, Akkurt İ. Etiological factors in hemoptysis. Cumhuriyet MedJ. 2010;32:48-53.
- 15. Johnston H, Reisz G. Chancing spectrum of hemoptysis: underlying causes in 148 patients undergoing diagnostic fiberoptic bronchoscopy. Arch Intern Med. 1989;149:1661- 8.
- 16. Özsürekçi Y, Parlakay AÖ, Cengiz AB ve ark. Hidatik Hastalıkta Atipik Prezentasyon: Hemoptizi. Turkiye Parazitol Derg. 2013;37:64-8.
- 17. Fidan A, Ozdoğan S, Oruç O ve ark. Hemoptysis: a retrospective analysis of 108 cases. Respir Med. 2002;96:677-80. 18. Bobrowitz ID, RamakrishnaS, Shim YS. Comparison of medical vs surgical treatment of major hemoptysis. Arch Intern Med. 1983;143:1343-6.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Articles |
| Authors | |
| Publication Date | July 18, 2022 |
| Acceptance Date | January 10, 2022 |
| Published in Issue | Year 2022 Volume: 23 Issue: 3 |
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