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Titolo:
Haemoptysis: aetiology, evaluation amd outcome - a prospective study in a third-world country
Autore:
Abal, AT; Nair, PC; Cherian, J;
Indirizzi:
Kuwait Univ, Fac Med, Dept Med, Safat 13110, Kuwait Kuwait Univ Safat Kuwait 13110 v, Fac Med, Dept Med, Safat 13110, Kuwait Kuwait Univ, Al Rashed Allergy Ctr, Chest Dept, Safat 13110, Kuwait KuwaitUniv Safat Kuwait 13110 ergy Ctr, Chest Dept, Safat 13110, Kuwait Al Sabha Hosp, Dept Radiol, Safat, Kuwait Al Sabha Hosp Safat KuwaitAl Sabha Hosp, Dept Radiol, Safat, Kuwait
Titolo Testata:
RESPIRATORY MEDICINE
fascicolo: 7, volume: 95, anno: 2001,
pagine: 548 - 552
SICI:
0954-6111(200107)95:7<548:HAEAO->2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
FIBEROPTIC BRONCHOSCOPY; COMPUTED-TOMOGRAPHY; MASSIVE HEMOPTYSIS; CT; ETIOLOGY;
Keywords:
haemoptysis; aetiology; CT scan; bronchoscopy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
26
Recensione:
Indirizzi per estratti:
Indirizzo: Abal, AT Kuwait Univ, Fac Med, Dept Med, POB 24923, Safat 13110, Kuwait Kuwait Univ POB 24923 Safat Kuwait 13110 23, Safat 13110, Kuwait
Citazione:
A.T. Abal et al., "Haemoptysis: aetiology, evaluation amd outcome - a prospective study in a third-world country", RESP MED, 95(7), 2001, pp. 548-552

Abstract

Haemoptysis is an alarming symptom, and the management depends upon the astrology. Emergency management depends upon localization of the site of bleeding by roentgenogram, computerized chest tompgraphy and bronchoscopy. We prospectively evaluated 52 patients with haemoptysis admitted to the Chest Hospital, Kuwait for 1 year (January 1998 to December 1998)and followedthem up for 1 year (January 1999 to December 1999). There were 42 males (80.8%) and 10 (19.2%) females, with a mean age of 42.2 (16-86) years. Of these, 26.9% were Kuwaiti nationals, 36.5% were Arab non-Kuwaiti nationals, 34.6% were Asians and 1.9% were other nationals. The aetiologies of haemoptysis were bronchiectasis (21.2%), old pulmonary tuberculosis with bronchiectasis (17.3%), active pulmonary tuberculosis (15.4%), bronchitis (5.8%), aspergilloma, rheumatic heart disease and carcinoid (1.9%). Aetiology could not be identified in 25% of patients. The site ofbleeding in haemoptysis could not be localized by the consultants in 18 (32%) by roentgenogram, 16 patients (37%) by CT scan and 23 patients (50%) byFibreoptic bronchoscopy. Sequential estimation of hemoglobin showed a meanof 13.56 (SD 1.9) and 13.31 (SD I S) after 24h. The difference in mean wasstatistically significant (p <0.036). Conservative management was given in 80.8%. and embolotherapy or surgical intervention in 19.2% of patients. Only 12% of patients had recurrent haemoptysis at 1-year follow upIn conclusion, bronchiectasis and pulmonary tuberculosis were the major causes of haemoptysis in this study. Roentgenogram, CT scan and fibreoptic bronchoscopy are useful for localizing the site of bleeding. Sequential estimation of haemoglobin may be helpful in assessing me severity of haemoptysis, but larger studies are required to address this observation. The outcome of haemoptysis is generally good, with a low mortality and recurrence rate.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 15/08/20 alle ore 02:21:40