POINT: Should All Initial Episodes of Hemoptysis Be Evaluated by Bronchoscopy? Yes

Chest: The Journal of Circulation, Respiration and Related Systems

David Feller-Kopman^2¹  Jose Cardenas-Garcia^1² 

[1] Division of Pulmonary and Critical Care Medicine, Interventional Pulmonology Service, Johns Hopkins University, Baltimore, MD^2;Division of Pulmonary, Allergy and Critical Care Medicine, Interventional Pulmonology Section, Pennsylvania State University, Hershey, PA^1

关键词: APC;    argon plasma coagulation;   

DOI  :  10.1016/j.chest.2017.09.036

学科分类：呼吸医学

来源: American College of Chest Physicians

【 摘 要 】

Figures Figure 1 Algorithm for treatment of hemoptysis. (Modified from Yendamuri.²) ETT = endotracheal tube; IP = interventional pulmonology; IR = interventional radiology. Hemoptysis is one of the leading causes for pulmonary admissions and consultations,¹ and can be both frightening (for the patient and provider) and life-threatening (for the patient). One of the first questions the physician will encounter is “should bronchoscopy be performed for all initial episodes?” and if so, when, by whom, and where? Bronchoscopy is a safe and relatively inexpensive procedure that allows the rapid identification and control of the source of bleeding, and can help guide a more definitive treatment if necessary.

【 授权许可】

CC BY