Rev Port Pneumol. 2011;17(1):7-14
volume 17 / número 1 / janeiro/fevereiro 2011
Moldando o futuro da Revista Portuguesa de Pneumologia Exposição involuntária ao fumo do tabaco emcrianças. Tabagismo nos jovens Todos os anos o ano do pulmão!
DESTAQUES Hemoptises-etiologia, avaliação e tratamento num hospital universitário HLA class II alleles as markers of tuberculosis susceptibility and resistance Exposição ao fumo do tabaco (EFT) e morbilidade respiratória em crianças em idade escolar Representações sociais do comportamento de fumar em adolescentes de 13 anoswww.revportpneumol.org
Portada Rev.Portuguesa ok CS3.indd 1
Hemoptysis — etiology, evaluation and treatment in a university hospital
F. Soares Pires*, N. Teixeira, F. Coelho, and C. Damas
Pulmonology Service, Hospital de São João, Porto, Portugal Received January 19, 2010; accepted August 2, 2010
KEYWORDS Hemoptysis; Etiology;Diagnosis; Treatment
Abstract Objective: Evaluate patients admitted for hemoptysis, its etiology, use of diagnostic tests, treatment and outcome. Material and methods: A retrospective analysis was done, checking clinical ﬁles of patients admitted for hemoptysis, between 1st January 2004 and 31st December 2008. Results: Two hundred and thirty seven patients were included in this study, with a mean age of57.9 years. In patients under 18 years, the most frequent diagnoses were bronchiectasis and congenital cardiopathy. In adults, pulmonary tuberculosis sequelae and bronchiectasis were the dominant diagnoses (22.2 % and 15.8 %, respectively), followed by lung cancer. Active infection was responsible for bleeding in 51 patients, especially pulmonary tuberculosis, pneumonia and tracheobronchitis. Theetiology of hemoptysis was not established in 6.3 %. All patients performed chest X-Ray. Chest CT was performed in 81.4 % of patients and ﬁberoptic bronchoscopy in 52.7 %, the latter locating the source of bleeding in 38.4 % and establishing a ﬁnal diagnosis in 17.6 %. In most patients, effective control of bleeding was achieved by medical treatment (90.7 %). During these 5 years, arterialembolization was performed in 11.8 % of patients. The main reason for embolization was recurrence prevention. There were 14 deaths (5.9 %), being identiﬁed as poor prognostic factors, hemodynamic instability and malignancy. Conclusions: Hemoptysis is still a frequent symptom, being chronic infection sequelae and lung cancer their main causes. In this study, factors associated with a worse prognosis werehemodynamic instability and malignancy.
© 2010 Published by Elsevier España, S.L. on behalf of Sociedade Portuguesa de Pneumologia. All rights reserved.
*Corresponding author. E-mail: ﬁlipasp@gmail.com (F. Soares Pires). 0873-2159/$ - see front matter © 2010 Published by Elsevier España, S.L. on behalf of Sociedade Portuguesa de Pneumologia. All rights reserved.
Document downloaded fromhttp://www.elsevier.es, day 18/01/2012. This copy is for personal use. Any transmission of this document by any media or format is strictly prohibited.
F. Soares Pires et al
PALAVRAS-CHAVE Hemoptises; Etiologia; Diagnóstico; Tratamento
Hemoptises–etiologia, avaliação e tratamento num hospital universitário
Resumo Objectivo: Avaliar doentes admitidos por hemoptises quanto à etiologia,meios diagnósticos, tratamento e evolução. Material e métodos: Realizou-se um estudo retrospectivo dos doentes admitidos no Hospital de São João, por hemoptises, entre 1 de janeiro de 2004 e 31 de dezembro de 2008. Resultados: Foram estudados 237 doentes, com idade média de 57,9 anos. Nos doentes com idade inferior a 18 anos, os diagnósticos mais frequentes foram bronquiectasias e cardiopatia...