This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (33)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Isidore D. Bobrowitz, MD; Srinivasarao Ramakrishna, MD; Young-Soo Shim, MD

Arch Intern Med. 1983;143(7):1343-1346.

Abstract
• One hundred thirteen patients hospitalized with substantial hemoptysis were studied. Thirty-one patients underwent surgery and 82 were treated medically, and the two groups had similar diagnoses and bleeding patterns. There were four deaths in the surgical group and 18 deaths in the medical group. Of these, eight patients had a sudden first hemoptysis with instantaneous death. Ten patients had a terminal hemoptysis after prior bleeding, but nine of these patients had absolute contraindications for surgery. In 64 patients hemoptysis was controlled with medical treatment. Most patients showed a steady decrease of bleeding, with cessation of hemoptysis after four days. Our experience indicates that the majority of patients with serious hemoptysis can be successfully treated conservatively. Massive hemoptysis, aspiration, or recurrence of bleeding in and of themselves are not indications for surgery. Where the hemoptysis remains uncontrolled in spite of a trial of adequate medical care or where the aspiration is severe and progressive, surgery may be indicated and can be lifesaving.

(Arch Intern Med 1983;143:1343-1346)

Author Affiliations
From the Pulmonary Division, the Department of Medicine, Albert Einstein College of Medicine, Bronx (NY) Municipal Hospital Center. Dr Ramakrishna is currently with the Lackawanna Medical Group, Scranton, Pa, and Dr Shim is currently with the Seoul (Korea) National University Hospital.

Footnotes
Accepted for publication March 7, 1983.

Reprint requests to 152 Seton Dr, New Rochelle, NY 10804 (Dr Bobrowitz).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Multi-Detector Row CT of Hemoptysis
Bruzzi et al.
RadioGraphics 2006;26:3-22.
ABSTRACT | FULL TEXT  

Management of massive hemoptysis in a thoracic surgical unit
Endo et al.
Eur. J. Cardiothorac. Surg. 2003;23:467-472.
ABSTRACT | FULL TEXT  

Utility of Fiberoptic Bronchoscopy Before Bronchial Artery Embolization for Massive Hemoptysis
Hsiao et al.
Am. J. Roentgenol. 2001;177:861-867.
ABSTRACT | FULL TEXT  

Imaging guided thoracic interventions
Ghaye and Dondelinger
Eur Respir J 2001;17:507-528.
ABSTRACT | FULL TEXT  

Management of exsanguinating hemoptysis during cardiopulmonary bypass
Smythe et al.
Ann. Thorac. Surg. 1999;67:1288-1291.
ABSTRACT | FULL TEXT  

Role of Bronchial Artery Embolization in the Management of Hemoptysis
Fernando et al.
Arch Surg 1998;133:862-865.
ABSTRACT | FULL TEXT  

Hemoptysis: A 10-Year Retrospective Study
Coss-Bu et al.
Pediatrics 1997;100:e7-e7.
ABSTRACT | FULL TEXT  

Massive Hemoptysis: Pathogenesis and Management
Winter and Ingbar
J Intensive Care Med 1988;3:171-188.
ABSTRACT