Treatment of Massive Hemoptysis Occurred from Destroyed Lung: Prevention of Contralateral Aspiration Using Endobronchial Blocker Followed by Pneumonectomy.

Tuberculosis and Respiratory Diseases

article

Kim, Seulki¹  Lee, Eun Jung¹  Park, Ji Young¹  Kim, Eun Young¹  Kang, Kyung Hwan¹  Chung, Hoe Hoon¹  Choi, Cheon Woong¹  Kim, Yee Hyung¹  Yoo, Jee Hong¹  Kwak, Young Tae²  Cho, Sang Ho²  Chung, Jun Young³  Kim, Dae Hyun² 

[1] Departments of Pulmonary and Critical Care Medicine, Kyung Hee University Hospital at Gangdong;Departments of Thoracic and Cardiovascular Surgery, Kyung Hee University Hospital at Gangdong;Departments of Anesthesiology and Pain Medicine, Kyung Hee University Hospital at Gangdong

关键词: Hemoptysis;    Tuberculosis;    Pneumonectomy;   

DOI  :  10.4046/trd.2012.72.1.68

学科分类：医学（综合）

来源: The Korean Academy of Tuberculosis and Respiratory Diseases

【 摘 要 】

Untreated massive hemoptysis, especially in patients with tuberculous-destroyed lung, is a serious complication resulting in considerable morbidity and mortality. We report a case of a patient who had active tuberculosis and a destroyed left lung with massive bleeding. He was transferred to our clinic with intubation of a right-sided Robertshaw double lumen tube and right upper lobe collapse likely due to tube malposition that was presented on chest X-ray. Because hemoptysis had persisted after bronchial arterial embolizaton, we replaced the double lumen tube with a conventional endotracheal tube and inserted an endobronchial blocker into the left main bronchus through an endotracheal tube guided by bronchoscopy to prevent aspiration of blood into the right lung. Left pneumonectomy was performed and hemotpysis was ceased. We suggest that the use of an endobronchial blocker followed by surgery may be a safe and effective modality of treatment in patients with persistent bleeding after bronchial arterial embolization.

【 授权许可】

CC BY-NC