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KMID : 0364019940270010036
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Korean Journal of Thoracic and Cardiovascular Surgery
1994 Volume.27 No. 1 p.36 ~ p.42
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Clinical Evaluation of Hemoptysis
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김호경
오중환/이종국/김은기/신계철/용석중/김영주
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Abstract
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Between January 1990 and June 1993, the retrospective analysis was done in 48 consecutive patients with hemoptysis. According to clinical condition of patients. managements were divided into 3 subgroups; group 1(percutaneous bronchial artery
embolization), group 2(operation after percutaneous bronchial artery embolization), group 3(delayed and emergency operation). It was characterized that recurrence of hemoptysis was very frequent and most frequent underlying cause was pulmonary
tuberculosis. In 40 patients(83%) urgent examination with flexible broncoscope was done and localization of the bleeding source was possible only in 24(60%) patients. The amount of hemoptysis was variable but there are no difference between
groups
and
22 patients(45%) had a prior episode of hemoptysis usually within 3 months of their admission. The recurrence was limited only in group 1 (3/22) and the mortality rate was 6%(3/48).
We suggest that percutaneus bronchial artery embolization may be effective in recurrent massive hemoptysis but definitive management was operation. (Korean J Thoracic Cardiovas Surg 1994; 27:36-42)
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