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Query: UMLS:C0019079 (hemoptysis)
 6,129 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Pulmonary function and cardiopulmonary complications were studied in a group of 40 patients with cystic fibrosis who reached the age of 25 years. Mean values for vital capacity (VC), functional residual capacity, residual volume (RV), the ratio of RV over total lung capacity (RV/TLC), conductance, and the ratio of the forced expiratory volume in one second over VC were abnormal. There was a variable pattern of progression from patient to patient. The men differed from the women only in that they had a significantly larger TLC and inspiratory capacity than the women. The resultant preservation of VC may have an advantage for survival in those patients in whom it is observed. Pseudomonas aeruginosa was encountered with increasing frequency with age. Massive hemoptysis did not result in early death. The occurrence of rightsided heart failure secondary to cor pulmonale, with or without respiratory failure, was a poor prognostic sign.
Chest 1978 Dec
PMID:Pulmonary function and morbidity in 40 adult patients with cystic fibrosis. 10 32

Three cases illustrate the principal clinical and roentgenographic varieties of granular cell myoblastoma (GCM) of the lung. The vast majority are small benign intrabronchial tumors without roentgenographic findings. These remain asymptomatic and are detected accidentally at autopsy, surgery, or bronchoscopy (Case III). Larger obstructing lesions (Case I) cause focal atelectasis or pneumonitis, leading to cough, expectoration, and hemoptysis. Hilar enlargement from reactive lymph node hyperplasia is common. Clinically and roentgenographically these are indistinguishable from bronchial adenomas. Least often the tumor extends entirely extrabronchially (Case II) presenting as a parahilar parenchymal asymptomatic nodule, simulating a granuloma, hamartoma, arteriovenous malformation or a neoplastic nodule.
Am J Roentgenol Radium Ther Nucl Med 1975 Dec
PMID:Granular cell myoblastoma of the lung. 17 51

Three cases of carcinoid tumor arising in the trachea are reported and contrasted with carcinoids arising in bronchi and carcinoids in general. Only eleven other documented examples of tracheal carcinoids are found in the English literature. The true prevalence of carcinoids primary in the trachea cannot be accurately determined from the literature because of imprecise nomenclature or because of the failure to distinguish this tumor from carcinoids primary in the bronchus. Presenting symptoms are hemoptysis, dyspnea and wheezing, often persisting for many years before the correct diagnosis is made. The treatment of choice is surgical resection of the involved segment of trachea and primary reconstruction. The prognosis is generally good. The tumor metastasized in one of our three cases and in none of the eleven cases in the English literature.
Cancer 1978 Dec
PMID:Tracheal carcinoids. 36 20

Endobronchial tamponade with a balloon-tipped catheter (Fogarty catheter) is used to control massive hemoptysis. This case documents that recurrent massive hemoptysis can be successfully controlled with repeated use of this procedure and that the simultaneous placement of more than one catheter can be safe and effective therapy that is well tolerated by patients.
Chest 1978 Dec
PMID:Repeated massive hemoptysis: successful control using multiple balloon-tipped catheters for endobronchial tamponade. 36 27

Severe bronchial hemorrhage in 13 patients with cystic fibrosis was treated by catheter embolization of bronchial arteries. Indications were either excessive bleeding persisting for several days, or bleeding serious enough to interfere with pulmonary drainage and recurring over weeks or months. In follow-up ranging from one to 30 months, cessation of major bleeding was achieved in 12 of 13 patients (93%), although 5 of 13 patients (40%) did have recurrence of minor hemoptysis. No neurologic or other major complications were encountered. However, there are potential risks and this approach at present should be limited to patients with life-threatening bleeding and carried out only by experienced angiographers.
J Pediatr 1979 Dec
PMID:Bronchial artery embolization in cystic fibrosis; technique and long-term results. 50

Anatomical basis and method of selective angiography of the bronchial arteries are described. Selective vascular angiograms of different lung diseases are different in appearance but are not always specific. Bronchial-arteriograms of the following diseases are demonstrated: tumors, inflammations, bronchiectasis, cystic lungs diseases and angiomatous changes of the vessel. Key features common to all investigated cases are: 1. Increased flow with dilatation of the afferent bronchial artery. 2. Bronchialangiography is more effective in defining the extensions of the hypervascularized lung diseases than other conventional diagnostic methods. 3. In all our cases we have observed arterial bronchopulmonary anastomoses which seem to be a significant cause for hemoptysis occurring during the course of the disease.
Radiologe 1979 Dec
PMID:[Angiography of the bronchial arteries in lung disease (author's transl)]. 51 23

It is hardly ever assumed that pulmonary bleeding can be due to the presence of angioma racemosum arteriovenosum. This is not only because it is relatively rare, but also because it cannot be visualised in conventional x-ray films of the lung. It is also not accessible to more detailed and invasive lung diagnosis. Definite confirmation is only possible via selective bronchial arteriography, which is too rarely applied during diagnostic differentiation. The authors observed angioma racemosum arteriovenosum in seven out of 47 patients in whom angiography had been performed after single or repeated haemoptysis; in six of these patients, the angioma was removed by surgery. Bronchial arteriography not only enables visualisation of the characteristic vascular patterns, but also to differentiate this disease against other pulmonary disorders which may also be responsible for the occurrence of haemoptysis. Furthermore, the angiogram enables exact determination of the extension and localisation of the angioma, this being an important prerequisite of successful thoracosurgery.
Rontgenblatter 1979 Dec
PMID:[Angiographic diagnosis of haemoptysis with particular reference to angiomas of the bronchial arteries (author's transl)]. 51 57

A questionnaire was applied by Government Health Visitors in Hong Kong to 201 consecutive patients with smear-positive, and 199 with smear-negative pulmonary tuberculosis who were attending one of the 7 full-time Government chest clinics for the first time on account of their current illness. Information was obtained about the symptoms of the disease and its diagnosis and management outside the Government service, and about patients' knowledge and attitudes towards the Government service. Among the 343 patients who sought treatment because of respiratory symptoms, the first symptom for the great majority (81 %) was cough, 15 % having sputum and 27 % haemoptysis as well. However, treatment was sought by only 15 % because of cough alone, compared with 40 % because of haemoptysis. Most patients (76 %) attended their first source of treatment or investigation within a month of the onset of symptoms, but some allowed long delays, and only 35 % attended a Government chest clinic within a month (whether this was the first source of treatment or not). The first source attended was a private practitioner for 53 % of the patients, another private medical establishment for 4 %, a Government chest clinic for only 11 % and another Government medical establishment for 17 %, 9 % went first to a herbalist and 5 % went to a drug store or treated themselves. The delays between the patients' first attendance at a source of treatment and their first attendance at a Government clinic were important, because outside the Government chest clinics only 49 % were investigated by chest radiograph and only 7 % by sputum bacteriology. Only 33 % were even suspected of having pulmonary tuberculosis, and many were correspondingly inadequately treated. The patients were, in general, ill informed about the Government chest clinic service; 52 % did not know, before their current illness, of the existence of the service, only 9 % knew that it was free, and only 12 % that it specialised in the management of tuberculosis. This study thus revealed a need to educate the public about the symptoms of tuberculosis, and about the possibility of their being investigated and treated, free, in a Government chest clinic.
Tubercle 1979 Dec
PMID:The symptoms of newly diagnosed pulmonary tuberculosis and patients' attitudes to the disease and to its treatment in Hong Kong. 54 7

Although bronchoscopy remains the best definitive method for localization of the site of hemorrhage in patients who have massive hemopytsis, angiography remains an important adjunct to this localization. When combined with embolization of the bleeding bronchial artery, it is an effective method of therapy for the management of massive hemoptysis in patients with cystic fibrosis.
J Pediatr Surg 1977 Dec
PMID:Management of major hemoptysis in patients with cystic fibrosis. 59 68

Symptoms, clinical findings and pulmonary function in 47 patients with tracheobronchomalacia were compared with the bronchoscopic finding. The main symptoms were phlegm, cough, and dyspnoea. Recurrent respiratory infections and haemoptysis were features of the recent medical history. Only 30% had emphysema, and cor pulmonale in the ECG was uncommon. A notch in FEV1 was seen in 25 patients (54%), against 3 (6%) in the controls. FVC, FEV1/FIV1 and notch in FEV1 were directly proportionate to the severity of the malacia. A low FEV1/FIV1 and notch in FEV1 are suggestive of tracheobronchomalacia and an indication for bronchoscopy.
Ann Clin Res 1977 Dec
PMID:Acquired tracheobronchomalacia. A clinical study with bronchological correlations. 61 23


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