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Query: UMLS:C0019079 (
hemoptysis
)
6,129
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Tracheo-oesophageal fistula is a rare complication of blunt trauma; by 1980 only 35 cases had been recorded. Presentation is usually delayed and the initial trauma severe. Fractures, pneumothorax,
haemoptysis
and surgical emphysema are not invariable features. Mediastinitis is rare, and surgical management is usually successful. The site of the fistula in the posterior wall of the trachea proximal to the main carina is remarkably constant. The membranous trachea is probably lacerated at the time of injury and the oesophageal wall contused. The contusion progresses to necrosis and a fistula is formed.
S Afr Med J 1982
Dec
25
PMID:Tracheo-oesophageal fistula from blunt trauma. A case report. 717 46
Twelve successive patients with massive
haemoptysis
were treated by emergency rigid bronchoscopy and lavage of the bleeding lung with cold saline. All patients stopped bleeding during the procedure and all blood and clot was evacuated from the accessible airways. The bleeding source was localised to a lobe in seven cases, and lateralised in the remaining five patients. Five patients had a second haemorrhage during that hospital stay and cold saline lavage again terminated it. Further therapy, either surgical or medical was based on information obtained during the respite from haemorrhage achieved with this technique. There was no hospital mortality in the series.
Thorax 1980
Dec
PMID:Management of massive haemoptysis with the rigid bronchoscope and cold saline lavage. 726 64
A 50-year-old white man with recurrent major
haemoptysis
is described. The main problem in management was in detecting the aetiology and source of the
haemoptysis
. Rigid bronchoscopy is essential in the evaluation and treatment of patients with massive
haemoptysis
, and once the site of bleeding has been established, pulmonary resection offers the best chance of survival. The operation performed is usually lobectomy, although pneumonectomy, as with our patient, may be necessary.
Thorax 1980
Dec
PMID:Recurrent major haemoptysis: progression to pneumonectomy. 726 65
Tracheobronchopathia osteochondroplastica (TO) is a rare disease, although it probably occurs more frequently than expected. During an eight-year period, nine patients with TO were found among 2,180 performed bronchoscopies. There were four women and five men, with a mean age of 60 years. Cough, expectoration, dyspnea,
hemoptysis
, and recurrent airway infections were common, and most of the patients had had symptoms for more than ten years. Bronchoscopy revealed multiple yellow-white, hard, papilla-like formations reaching from the trachea to the segmental bronchi. Microscopy of biopsy specimens from the macroscopically altered mucosa showed osteocartilaginous tissue typical for TO in all patients. In eight of the patients spirometry showed an obstructive pattern.
Chest 1981
Dec
PMID:Tracheobronchopathia osteochondroplastica. A clinical bronchoscopic and spirometric study. 730 93
The embolization of intercostal arteries for the control of massive
hemoptysis
is described in two patients with bronchopleural fistulas and in one patient with sarcoidosis.
Hemoptysis
was controlled by embolization in all three cases, but spinal cord infarction occurred in one patient as a result of the procedure. This complication can occur even in cases where no significant blood supply to the spinal cord can be seen on preliminary arteriography, which suggests that in some patients angiographically invisible small branches play an important role in the blood supply to the spinal cord. These branches may be particularly important in cases in which the spinal blood supply is already compromised by surgery, radiation therapy, or previous embolization procedures.
Radiology 1980
Dec
PMID:Control of massive hemoptysis by embolization of intercostal arteries. 744 46
A case of subacute bacterial endocarditis presenting with
hemoptysis
and late onset of cardiac murmurs, in the absence of pyrexia, was reported. The causative agent was a fastidious, slow-growing, unclassified, gram-negative bacterium, DF-2 (decarboxylase fermenter-2), apparently transmitted by a dog bite. The absence of classic signs of bacterial endocarditis poses a diagnostic challenge and stresses the need for an awareness of atypical presentations of subacute bacterial endocarditis.
South Med J 1980
Dec
PMID:Atypical endocarditis due to gram-negative bacillus transmitted by dog bite. 744 59
Control of massive
hemoptysis
by embolization of bronchial arteries was achieved in two patients with bronchopleural fistula. Both patients would have been prohibitive risks for thoracotomy. The indications, contraindications, and technique of the procedure are presented as well as a review of the literature.
Chest 1980
Dec
PMID:Control of hemoptysis by bronchial artery embolization. 744 69
A total of 458 eligible patients, from 21 centres, with microscopically confirmed SCLC were allocated at random to three chemotherapy regimens, each given at 3-week intervals. In two regimens, etoposide, cyclophosphamide, methotrexate and vincristine were given for a total of either three courses (ECMV3) or six courses (ECMV6). In the third regimen, etoposide and ifosfamide were given for six courses (E16). Patients with limited disease also received radiotherapy to the primary site after the third course of chemotherapy in all three groups. As reported by clinicians, 59% of the ECMV3, 67% of the ECMV6 and 63% of the EI6 patients experienced moderate or severe adverse reactions to their chemotherapy. The major symptoms of disease, cough,
haemoptysis
, chest pain, anorexia, and dysphagia, were palliated in 63% or more of patients and the median duration of palliation was 63% or more of survival, the results being similar in the three groups. Among patients with poor overall condition, physical activity and breathlessness on admission, the proportions who improved were higher in the EI6 group but the differences were small. In all three groups, levels of anxiety fell substantially during treatment. Levels of depression were lower and showed little change. As assessed by patients using a daily diary card, the patterns of nausea, vomiting, activity and mood, associated with courses of chemotherapy were very similar in the three groups. In the EI6 group there was less dysphagia and better overall condition between courses, but these advantages need to be weighed against the inconvenience of the 24-h infusions required, compared with the 30-min infusions of the other two regimens. As reported in the companion paper (MRC Lung Cancer Working Party, 1993a) there was no statistically significant survival advantage to any of the three regimens, although the results do not exclude the possibility of a minor survival advantage with the two six-course regimens. In conclusion, there was no major clinical gain from continuing chemotherapy beyond three courses or from using the ifosfamide regimen.
Br J Cancer 1993
Dec
PMID:A randomised trial of three or six courses of etoposide cyclophosphamide methotrexate and vincristine or six courses of etoposide and ifosfamide in small cell lung cancer (SCLC). II: Quality of life. Medical Research Council Lung Cancer Working Party. 750 4
A 36-year-old man presented with
haemoptysis
and his admission chest radiograph showed a large thin walled cystic lesion with an air-fluid level in the left lower lobe. The pathological diagnosis of the lesion, which was removed by a left lower lobe resection, was an intrapulmonary bronchogenic cyst.
Med J Malaysia 1994
Dec
PMID:Intrapulmonary bronchogenic cyst presenting with haemoptysis. 767 76
This is a case report of choriocarcinoma in the placenta of a patient who had a term delivery at the 38th week of pregnancy. The pregnant woman had
hemoptysis
at the 26th week of pregnancy, and a chest X-ray revealed a tumor in the left lung. She had suffered from a hydatidiform mole in a previous pregnancy in 1989. The patient's serum level of beta-human chorionic gonadotropin (hCG) had been below the normal level before the present pregnancy. Choriocarcinoma was histologically found at 3 sites in the placenta. Her urine hCG levels decreased rapidly after delivery. A partial lobectomy was performed after 2 courses of chemotherapy, and no choriocarcinoma was recognized histologically, because the lesions were hemorrhagic and necrotic. At present, the mother is free of disease, and the baby is growing normally. The placenta should be examined in a detail in post-molar pregnancy.
Asia Oceania J Obstet Gynaecol 1994
Dec
PMID:Choriocarcinoma in a term placenta with pulmonary metastasis. 783 68
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