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HEMOPTİZİLİ OLGULARDA ETİYOLOJİ VE AKCİĞER GRAFİSİ, BİLGİSAYARLI TOMOGRAFİ (BT), FİBEROPTİK BRONKOSKOPİ (FOB) BULGULARININ DEĞERLENDİRİLMESİ

Year 2005, Volume: 19 Issue: 3, 93 - 100, 01.12.2005

Abstract

Bu çalışmanın amacı, hemoptizinin etiyolojik dağılımını, etiyoloji ile hemoptizi miktarı arasındaki ilişkiyi ve farklı tanısal yöntemlerin sebebi saptamadaki yararlılığını göstermektir. Eylül 2001 ile Ağustos 2004 tarihleri arasında hastanemize başvuran 110 hemoptizili hasta retrospektif olarak değerlendirildi. Hemoptizinin en sık nedeni akciğer kanseri iken (%38.2), bunu tüberküloz (%12.8), pnömoni (11.8) izlemekteydi. Hemoptizi, olguların 78'inde ilk atak iken (%70.9), 32'sinde (%29.1) rekürren idi. Rekürren ve ilk hemoptizi atağında en sık neden akciğer kanseriydi

References

  • 1. Braunwald E. Cough and Hemoptysis. Harrison TR (ed). Harrison’s Principles of Internal Medicine. New York: Mc Graw-Hill; 1994: 172-4.
  • 2. Santiago S, Tobias J, William AJ. A reapprasial of the causes of hemoptysis. Arch Intern Med 1991; 151: 2449-51.
  • 3. Ünsal E, Köksal D, Çimen F, Hoca NT, fiipit T. Analysis of patients with hemoptysis in a reference hospital for chest diseases. Tüberküloz ve Toraks Dergisi 2006; 54 (1): 34-42.
  • 4. Lyons HA. Differential diagnosis of hemoptysis and its treatment. Basics Respir Dis 1976; 5: 1-5.
  • 5. Naidich DP, Funt S, Ettenger N, Arranda C. Hemoptysis: CT – bronchoscopic correlations in 58 cases. Radiology 1990; 177: 357- 62.
  • 6. Webb WR. High resolution computed tomography of obstructive lung disease. Radiol Clin North Am 1994; 32(4): 745.
  • 7. Hirshberg B, Biran I, Glazer M, Kramer MR. Hemoptysis: Etiology, evaluation, and outcome in a tertiary referral hospital. Chest 1997; 112: 440-4.
  • 8. Fidan A, Özdo¤an S, Oruç Ö, et al. Hemoptysis: a retrospective analysis of 108 cases. Respir Med 2002 ; 96: 677-80.
  • 9. Çelik P, Gönlügür U, Ak›n M ve ark. Hemoptizili olgular›m›z›n analizi. Heybeliada T›p Bülteni 1997; 3: 45-8.
  • 10. Johnston H, Reisz G. Changing spectrum of hemoptysis. Arch Intern Med 1989; 149: 1666-9.
  • 11. Yavaflo¤lu G, Karalar S ve ark. Hemoptizili olgular›n retrospektif de¤erlendirilmesi. TUSAD XXIII. Kongre Kitab› 1996; 20: 583-6.
  • 12. Karabulut N, Ç›kr›kç›o¤lu S, K›l›çaslan Z ve ark. Hemoptizili ve Normal akci¤er grafili hastalarda fiberoptik bronkoskopi. Solunum 1989; 14: 483-7
  • 13. Hsiao EI, Kirsch CM, Kagawa FT, et al. Utility of fiberoptic bronchoscopy before bronchial artery embolization for massive hemoptysis. AJR 2001; 177: 861-7.
  • 14. Revel M, Fournier L, Hennebicque A, et al. Can CT replace bronchoscopy in the detection of the site and cause of bleeding in patients with large or massive hemoptysis? AJR 2002, Nov; 179 (5): 1217-24.
  • 15. Millar AB, Bosthrayd A, Edwards D, et al. Value of computed tomograpy in unexplained hemoptysis. Thorax 1988: 43: 811.
  • 16. Yaln›z Ö, Yaln›z E, Y›lmaz U, Utkaner G, Yüksel M, Gürgan U, Menzilcio¤lu S. Hemoptizili ve nornal PA akci¤er grafisi olan olgularda YRBT ve FOB’nin tan›sal de¤eri. Solunum Hastal›klar› 1999; 10: 37-44.
  • 17. Wong C, Lim K, Liam C. The causes of hemoptysis in Malaysian patients aged over 60 and the diagnostic yield of different investigations. Respirology (2003); 8: 65-8.
  • 18. Thompson AB, Teschler H, Rennard SI. Pathogenesis, evaluation and therapy for massive hemoptysis. Clin Chest Med 1992; 13: 69-82.
  • 19. Set PA, Flower CD, Smith IE, et al. Hemoptysis: Comparative study of the role of CT and fiberoptic bronchoscopy. Radiology 1993; 189: 677-80.
  • 20. Abbott OA. The clinical significance of pulmonary haemorrhage. A study of 1,316 patients with chest disease. Dis Chest 1948; 14: 824- 42.

EVALUATION OF ETIOLOGY AND RESULTS OF CHEST RADIOGRAPHY, COMPUTED TOMOGRAPHY (CT) AND FIBEROPTIC BRONCHOSCOPY (FOB) IN HEMOPTYSIS

Year 2005, Volume: 19 Issue: 3, 93 - 100, 01.12.2005

Abstract

The aim of this study is to show the etiologic distribution of hemoptysis, relationships between etiology and the amount of hemoptysis, and the capability of different diagnostic methods in determining the causes of hemoptysis. 110 patients, who were admitted to our hospital for hemoptysis between September 2001 and August 2004, were retrospectively rewieved. The most frequent cause of hemoptysis was lung cancer (38.2%), and was followed by tuberculosis (12.8%) and pneumonia (11.8%). Hemoptysis was the first attack in 78 (70.9%) of the cases, while it was recurrent in 32 cases (29.1%). The most frequent reason of recurrent and first hemoptysis attack was lung cancer

References

  • 1. Braunwald E. Cough and Hemoptysis. Harrison TR (ed). Harrison’s Principles of Internal Medicine. New York: Mc Graw-Hill; 1994: 172-4.
  • 2. Santiago S, Tobias J, William AJ. A reapprasial of the causes of hemoptysis. Arch Intern Med 1991; 151: 2449-51.
  • 3. Ünsal E, Köksal D, Çimen F, Hoca NT, fiipit T. Analysis of patients with hemoptysis in a reference hospital for chest diseases. Tüberküloz ve Toraks Dergisi 2006; 54 (1): 34-42.
  • 4. Lyons HA. Differential diagnosis of hemoptysis and its treatment. Basics Respir Dis 1976; 5: 1-5.
  • 5. Naidich DP, Funt S, Ettenger N, Arranda C. Hemoptysis: CT – bronchoscopic correlations in 58 cases. Radiology 1990; 177: 357- 62.
  • 6. Webb WR. High resolution computed tomography of obstructive lung disease. Radiol Clin North Am 1994; 32(4): 745.
  • 7. Hirshberg B, Biran I, Glazer M, Kramer MR. Hemoptysis: Etiology, evaluation, and outcome in a tertiary referral hospital. Chest 1997; 112: 440-4.
  • 8. Fidan A, Özdo¤an S, Oruç Ö, et al. Hemoptysis: a retrospective analysis of 108 cases. Respir Med 2002 ; 96: 677-80.
  • 9. Çelik P, Gönlügür U, Ak›n M ve ark. Hemoptizili olgular›m›z›n analizi. Heybeliada T›p Bülteni 1997; 3: 45-8.
  • 10. Johnston H, Reisz G. Changing spectrum of hemoptysis. Arch Intern Med 1989; 149: 1666-9.
  • 11. Yavaflo¤lu G, Karalar S ve ark. Hemoptizili olgular›n retrospektif de¤erlendirilmesi. TUSAD XXIII. Kongre Kitab› 1996; 20: 583-6.
  • 12. Karabulut N, Ç›kr›kç›o¤lu S, K›l›çaslan Z ve ark. Hemoptizili ve Normal akci¤er grafili hastalarda fiberoptik bronkoskopi. Solunum 1989; 14: 483-7
  • 13. Hsiao EI, Kirsch CM, Kagawa FT, et al. Utility of fiberoptic bronchoscopy before bronchial artery embolization for massive hemoptysis. AJR 2001; 177: 861-7.
  • 14. Revel M, Fournier L, Hennebicque A, et al. Can CT replace bronchoscopy in the detection of the site and cause of bleeding in patients with large or massive hemoptysis? AJR 2002, Nov; 179 (5): 1217-24.
  • 15. Millar AB, Bosthrayd A, Edwards D, et al. Value of computed tomograpy in unexplained hemoptysis. Thorax 1988: 43: 811.
  • 16. Yaln›z Ö, Yaln›z E, Y›lmaz U, Utkaner G, Yüksel M, Gürgan U, Menzilcio¤lu S. Hemoptizili ve nornal PA akci¤er grafisi olan olgularda YRBT ve FOB’nin tan›sal de¤eri. Solunum Hastal›klar› 1999; 10: 37-44.
  • 17. Wong C, Lim K, Liam C. The causes of hemoptysis in Malaysian patients aged over 60 and the diagnostic yield of different investigations. Respirology (2003); 8: 65-8.
  • 18. Thompson AB, Teschler H, Rennard SI. Pathogenesis, evaluation and therapy for massive hemoptysis. Clin Chest Med 1992; 13: 69-82.
  • 19. Set PA, Flower CD, Smith IE, et al. Hemoptysis: Comparative study of the role of CT and fiberoptic bronchoscopy. Radiology 1993; 189: 677-80.
  • 20. Abbott OA. The clinical significance of pulmonary haemorrhage. A study of 1,316 patients with chest disease. Dis Chest 1948; 14: 824- 42.
There are 20 citations in total.

Details

Other ID JA73NP27SC
Journal Section Research Article
Authors

Selay Arslan This is me

Pınar Çimen This is me

Serpil Tekgül This is me

Eda Güren This is me

Enver Yalnız This is me

Emel Pala Özden This is me

Publication Date December 1, 2005
Published in Issue Year 2005 Volume: 19 Issue: 3

Cite

APA Arslan, S., Çimen, P., Tekgül, S., Güren, E., et al. (2005). HEMOPTİZİLİ OLGULARDA ETİYOLOJİ VE AKCİĞER GRAFİSİ, BİLGİSAYARLI TOMOGRAFİ (BT), FİBEROPTİK BRONKOSKOPİ (FOB) BULGULARININ DEĞERLENDİRİLMESİ. İzmir Göğüs Hastanesi Dergisi, 19(3), 93-100.