Hemoptizi
Synopsis
Hastaların ilk değerlendirilmesi, stabilizasyonu ve takibi acil serviste başlamaktadır. Konunun öneminin acil hekimlerince bilinmesi ve gerekli işlemlerin yapılması bu açıdan önemlidir. Bu çalışmada hemoptizinin acil servislerde tanı ve tedavide faydası olabilecek konuları anlatmayı hedefledik. Hemoptizi türleri; hayatı tehdit eden major hemoptizi, hayati tehdit oluşturmayan minor hemoptizi, kriptojenik ve psödohemoptizi olarak incelenebilir. Tanı; vakaların değerlendirilmesi için anamnez, fizik muayene, laboratuvar tetkikleri görüntüleme tekniklerine dayanmaktadır. Hemoptizinin tedavisinde ilk adım hastanın stabilizasyonu ve kanamanın kontrolü ile başlar Daha sonra inhaler tedavi, bronkoskopi, BAE ve cerrahi yöntemler gibi çeşitli tedavi seçenekleri düşünülebilir.
References
Soares Pires, N.Teixeira,F. Tavşan,C. Damas Hemoptizi – bir üniversite hastanesinde etiyoloji, değerlendirme ve tedaviBir üniversite hastanesinde hemoptizi – etiyoloji, değerlendirme ve tedavi Revista Portuguesa de Pneumologia (English Edition) volume 17, ıssue 1, January–February 2011, Pages 7-14
Özlu T. Massif hemoptizi. Ekim N, Turktaş H, (ed.) Goğüs hastalıkları acilleri İçinde Ankara: Bilimsel Tıp Yayınevi; 2000. s. 241-246.
Jeudy J, Khan AR, Mohammed TL, et al. ACR. Appropriateness Criteria hemoptysis. J Thorac Imaging 2010;25:W67-9.
Hirsberg B, Biran I, Glazer M, et al: Hemoptysis: etiology, evaluation, and outcome in a tertiary referral hospital.Chest 1997; 112(2):440-444.
Patel SR. Stoller JK. Th e role of bronchoscopy in hemoptysis. Wang K, Mehta AC (eds). İn: Flexible Bronchoscopy. Cambridge: Blackwell Science, 1995: p.298-321.
Lordan JL, Gascoigne A, Corris PA. The pulmonary physician in critical care. Illustrative case 7: Assessment and management of massive haemoptysis. Thorax 2003;58:814-9.
Chun JY, Morgan R, Belli AM. Radiologicalmanagement of hemoptysis: a comprehensivereview of diagnostic imagingand bronchial arterial embolization. CardiovascIntervent Radiol 2010;33:240-50.
J. Moura ve Sá Mezarları / maciçaları hemoptize eder - pnömologa müdahale Rev Bağlantı Noktası Pnömol (2008)
B. Hirshberg et al. Hemoptizi: üçüncü basamak bir sevk hastanesinde etiyoloji, değerlendirme ve sonuç. Göğüs (1997)
A. Valipour et al. Topical hemostatic tamponade therapy accompanied by bronchoscopy for the treatment of life-threatening hemoptysis. Chest (2005)
A. Parrot et al. Management of severe haemoptysis: experience in a specialized center Rev Pneumol Clinic (2007)
P.R.A. Atchinson, C.J. Hatton, M.A. Roginski et al. The emergency department evaluation and management of massive hemoptysis American Journal of Emergency Medicine 50 (2021) 148–155
Kevin Davidson , Samira Shojaee Managing Massive Hemoptysis. Chest volume 157,Issue 1, January 2020, Pages 77-88
Hirshberg B, Biran I, Glazer M, Kramer MR. Hemoptysis: etiology, evaluation, and outcome in a tertiary referral hospital. CHEST. 1997 Aug 1;112(2):440–4.
Delage A, Tillie-Leblond I, Cavestri B, et al. Cryptogenic hemoptysis in chronic obstructive pulmonary disease: characteristics and outcome. Respiration 2010; 80:387.
Petersen CL, Weinreich UM. Five-year follow-up of hemoptysis with no malignancy suspected on chest computed tomography: recurrence, lung cancer and mortality. Eur Clin Respir J 2019; 6:1616519.
Savale L, Parrot A, Khalil A, et al. Cryptogenic hemoptysis: from a benign to a life-threatening pathologic vascular condition. Am J Respir Crit Care Med 2007; 175:1181.
Ori Wand et al. Inhaled Tranexamic Acid for Hemoptysis Treatment A Randomized Controlled Trial CHEST 2018; 154(6):1379-1384
Edhouse J, Thakur RK, Khalil JM. Conditions affecting the left side of the heart. BMJ. 2002 May 25;324(7348):1264–7
Radchenko C, Alraiyes AH, Shojaee S. A systematic approach to the management of massive hemoptysis. J Thorac Dis. 2017 Sep;9(Suppl. 10):S1069–86.
Revel MP, Fournier LS, Hennebicque AS, ve diğerleri. Büyük veya masif hemoptizi hastalarında kanamanın yerinin ve nedeninin belirlenmesinde BT bronkoskopinin yerini alabilir mi? AJR Am J Roentgenol 2002; 179 :1217-24.
Le HY, Le VN, Pham NH, Phung AT, Nguyen TT, Do Q. Value of multidetector computed tomography angiography before bronchial artery embolization in hemoptysis management and early recurrence prediction: a prospective study. BMC Pulm Med. 2020 Aug 31;20(1):231.
Mondoni M, Carlucci P, Cipolla G, Fois A, Gasparini S, Marani S, et al. Bronchoscopy to assess patients with hemoptysis: which is the optimal timing? BMC Pulm Med. 2019 Feb 11;19(1):36.
Vogler J, Fink T, Sohns C, et al. Acute Hemoptysis Following Cryoballoon Pulmonary Vein Isolation: A Multicenter Study. JACC Clin Electrophysiol 2020; 6:773.
Porter DK, Van Every MJ, Anthracite RF, Mack JW Jr. Massive hemoptysis in cystic fibrosis. Arch Intern Med 1983; 143:287.
Layden JE, Ghinai I, Pray I, et al. Pulmonary Illness Related to E-Cigarette Use in Illinois and Wisconsin - Final Report. N Engl J Med 2020; 382:903.
Sapra R, Sharma G, Minz AK. Rasmussen's aneurysm: A rare and forgotten cause of hemoptysis. Indian Heart J 2015; 67 Suppl 3:S53.
Andréjak C, Parrot A, Bazelly B, ve diğerleri. Şiddetli hemoptizi için cerrahi akciğer rezeksiyonu. Ann Toraks Cerrahisi 2009; 88 :1556-65.
Crocco JA, Rooney JJ, Fankushen DS, DiBenedetto RJ, Lyons HA. Massive hemoptysis. Arch Intern Med. 1968 Jun 1;121(6):495–8.
Garzon AA, Gourin A. Surgical management of massive hemoptysis. A ten-year experience. Ann Surg. 1978 Mar;187(3):267–71.
Davidson K, Shojaee S. Managing massive hemoptysis. Chest. 2020 Jan 1;157(1): 77–88.
Özlu T. Massif hemoptizi. Ekim N, Turktaş H, (ed.) Goğüs hastalıkları acilleri İçinde Ankara: Bilimsel Tıp Yayınevi; 2000. s. 241-246.
Jeudy J, Khan AR, Mohammed TL, et al. ACR. Appropriateness Criteria hemoptysis. J Thorac Imaging 2010;25:W67-9.
Hirsberg B, Biran I, Glazer M, et al: Hemoptysis: etiology, evaluation, and outcome in a tertiary referral hospital.Chest 1997; 112(2):440-444.
Patel SR. Stoller JK. Th e role of bronchoscopy in hemoptysis. Wang K, Mehta AC (eds). İn: Flexible Bronchoscopy. Cambridge: Blackwell Science, 1995: p.298-321.
Lordan JL, Gascoigne A, Corris PA. The pulmonary physician in critical care. Illustrative case 7: Assessment and management of massive haemoptysis. Thorax 2003;58:814-9.
Chun JY, Morgan R, Belli AM. Radiologicalmanagement of hemoptysis: a comprehensivereview of diagnostic imagingand bronchial arterial embolization. CardiovascIntervent Radiol 2010;33:240-50.
J. Moura ve Sá Mezarları / maciçaları hemoptize eder - pnömologa müdahale Rev Bağlantı Noktası Pnömol (2008)
B. Hirshberg et al. Hemoptizi: üçüncü basamak bir sevk hastanesinde etiyoloji, değerlendirme ve sonuç. Göğüs (1997)
A. Valipour et al. Topical hemostatic tamponade therapy accompanied by bronchoscopy for the treatment of life-threatening hemoptysis. Chest (2005)
A. Parrot et al. Management of severe haemoptysis: experience in a specialized center Rev Pneumol Clinic (2007)
P.R.A. Atchinson, C.J. Hatton, M.A. Roginski et al. The emergency department evaluation and management of massive hemoptysis American Journal of Emergency Medicine 50 (2021) 148–155
Kevin Davidson , Samira Shojaee Managing Massive Hemoptysis. Chest volume 157,Issue 1, January 2020, Pages 77-88
Hirshberg B, Biran I, Glazer M, Kramer MR. Hemoptysis: etiology, evaluation, and outcome in a tertiary referral hospital. CHEST. 1997 Aug 1;112(2):440–4.
Delage A, Tillie-Leblond I, Cavestri B, et al. Cryptogenic hemoptysis in chronic obstructive pulmonary disease: characteristics and outcome. Respiration 2010; 80:387.
Petersen CL, Weinreich UM. Five-year follow-up of hemoptysis with no malignancy suspected on chest computed tomography: recurrence, lung cancer and mortality. Eur Clin Respir J 2019; 6:1616519.
Savale L, Parrot A, Khalil A, et al. Cryptogenic hemoptysis: from a benign to a life-threatening pathologic vascular condition. Am J Respir Crit Care Med 2007; 175:1181.
Ori Wand et al. Inhaled Tranexamic Acid for Hemoptysis Treatment A Randomized Controlled Trial CHEST 2018; 154(6):1379-1384
Edhouse J, Thakur RK, Khalil JM. Conditions affecting the left side of the heart. BMJ. 2002 May 25;324(7348):1264–7
Radchenko C, Alraiyes AH, Shojaee S. A systematic approach to the management of massive hemoptysis. J Thorac Dis. 2017 Sep;9(Suppl. 10):S1069–86.
Revel MP, Fournier LS, Hennebicque AS, ve diğerleri. Büyük veya masif hemoptizi hastalarında kanamanın yerinin ve nedeninin belirlenmesinde BT bronkoskopinin yerini alabilir mi? AJR Am J Roentgenol 2002; 179 :1217-24.
Le HY, Le VN, Pham NH, Phung AT, Nguyen TT, Do Q. Value of multidetector computed tomography angiography before bronchial artery embolization in hemoptysis management and early recurrence prediction: a prospective study. BMC Pulm Med. 2020 Aug 31;20(1):231.
Mondoni M, Carlucci P, Cipolla G, Fois A, Gasparini S, Marani S, et al. Bronchoscopy to assess patients with hemoptysis: which is the optimal timing? BMC Pulm Med. 2019 Feb 11;19(1):36.
Vogler J, Fink T, Sohns C, et al. Acute Hemoptysis Following Cryoballoon Pulmonary Vein Isolation: A Multicenter Study. JACC Clin Electrophysiol 2020; 6:773.
Porter DK, Van Every MJ, Anthracite RF, Mack JW Jr. Massive hemoptysis in cystic fibrosis. Arch Intern Med 1983; 143:287.
Layden JE, Ghinai I, Pray I, et al. Pulmonary Illness Related to E-Cigarette Use in Illinois and Wisconsin - Final Report. N Engl J Med 2020; 382:903.
Sapra R, Sharma G, Minz AK. Rasmussen's aneurysm: A rare and forgotten cause of hemoptysis. Indian Heart J 2015; 67 Suppl 3:S53.
Andréjak C, Parrot A, Bazelly B, ve diğerleri. Şiddetli hemoptizi için cerrahi akciğer rezeksiyonu. Ann Toraks Cerrahisi 2009; 88 :1556-65.
Crocco JA, Rooney JJ, Fankushen DS, DiBenedetto RJ, Lyons HA. Massive hemoptysis. Arch Intern Med. 1968 Jun 1;121(6):495–8.
Garzon AA, Gourin A. Surgical management of massive hemoptysis. A ten-year experience. Ann Surg. 1978 Mar;187(3):267–71.
Davidson K, Shojaee S. Managing massive hemoptysis. Chest. 2020 Jan 1;157(1): 77–88.
Volume
Pages
99-106
Published
May 3, 2024
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1.
Özensoy HS. Hemoptizi. In: Akman C, Karcıoğlu Ö, editors. Dahili Aciller [Internet]. Türkiye: Academician Publishing Book DOI Portal; 2024 [cited 2026 Jul. 13]. pp. 99-106. Available from: https://omp35.books.akademisyen.net/index.php/akya/catalog/book/3074/chapter/13162
