HEMOPTİZİ: 311 OLGULUK BİR RETROSPEKTİF ANALİZ

Yıl 2008, Cilt: 22 Sayı: 3, 65 - 71, 01.12.2008

Hakan Koca Sezen Ş. Özden Filiz Güldaval Rıfat Özacar

Öz

Çalışmamızın amacı hemoptizinin etiyolojik dağılımını, etiyoloji ile hemoptizi miktarı arasındaki ilişkiyi ve farklı tanısal yöntemlerin nedeni saptamadaki başarısını göstermektir. Hastanemize Ocak 2000 - Aralık 2002 tarihleri arasında hemoptizi nedeniyle başvuran 311 olgu retrospektif olarak değerlendirildi. En sık hemoptizi nedenleri akciğer kanseri (% 28.4), aktif akciğer tüberkülozu (%16.4) ve pnömoniydi (%16.1). 24(%7.7) olguda idiopatik hemoptizi vardı. 220(%70.7) olguda ilk hemoptizi atağı, 91(%29.3) olguda ise rekurren hemoptizi mevcuttu. En sık görülen ek semptom öksürüktü (%65.5). Göğüs radyogramında en sık görülen lezyon tipi homojen dansite artımı (%27.9), en sık lezyon yeri ise sağ üst zon (%21.2) ve sağ alt zondu (%21.2). Toraks bilgisayarlı tomografide (BT) en sık görülen lezyon tipi kitle (%37.6), en sık lezyon yeri sağ üst lobtu (%23.2). Göğüs radyogramında %83.2 olguda lezyon izlenirken, toraks BT'de %87.9, bronkoskopide %66.6 olguda patoloji izlendi. Sonuç olarak, hemoptizinin en sık nedenleri akciğer kanseri, tuberküloz ve pnömoniydi. Tanısal değerlendirmede toraks BT'nin bronkoskopiye göre daha yüksek bir değere sahip olduğu görüldü. Hemoptizi değişik klinik durumlarda görülebilen önemli bir semptomdur. Bu çalışma hemoptizi nedenlerinin dikkatle araştırılmasının önemini göstermektedir.

Anahtar Kelimeler

Hemoptizi, toraks BT, bronkoskopi

HEMOPTYSIS: A RETROSPECTIVE ANALYSIS OF 311 CASES

Öz

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. 311 patients, who were admitted to our hospital for hemoptysis between January 2000 and December 2002, were retrospectively rewieved. The most comman causes of hemoptysis were lung cancer (28.4%), active pulmonary tuberculosis (16.4%) and pneumonia (16.1%). 24(7.7%) patients had idiopathic hemoptysis. It was the first hemoptysis attack in 220(70.7%) cases and was recurrent in 91(29.3%) cases. The most comman associating symptom was cough (65.5%). The most comman radiologial lesion was homogenious dansity (27.9%) and the most comman lacation was right upper zone (21.2%) and right lower zone (21.2%). The most comman thorax CT lesion was mass (37.6%) and the most location was right upper lobe (23.2%). There were abnormal findings in the chest radiographs of the 83.2% of the cases, while in thorax CT images of 87.9% and 66.6% of bronchoscopy. As a result, the leading cause of the hemoptysis was lung cancer. It was seen thatcomputed tomography has a higher value than fiberoptic bronchoscopy in diag nostic evaluation. Hemoptysis can be seen in very different clinical conditions. This study emphasizes the importance of careful search for the reasons hemoptysis.

Anahtar Kelimeler

Hemoptysis, thorax CT, bronchoscopy

Kaynakça

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