HEMOPTİZİLİ OLGULARDA ETİYOLOJİ VE AKCİĞER GRAFİSİ, BİLGİSAYARLI TOMOGRAFİ (BT), FİBEROPTİK BRONKOSKOPİ (FOB) BULGULARININ DEĞERLENDİRİLMESİ
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
EVALUATION OF ETIOLOGY AND RESULTS OF CHEST RADIOGRAPHY, COMPUTED TOMOGRAPHY (CT) AND FIBEROPTIC BRONCHOSCOPY (FOB) IN HEMOPTYSIS
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
___
- 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.