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Vol 2, No 1 (2003): Polish Palliative Medicine
Artykuły poglądowe
Published online: 2002-10-30
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Pulmonary bleedings

Ewa Jassem, Jacek Jassem
Advances in Palliative Medicine 2003;2(1):23-30.

open access

Vol 2, No 1 (2003): Polish Palliative Medicine
Artykuły poglądowe
Published online: 2002-10-30

Abstract

Pulmonary bleedings typically accompany advanced chronic diseases of the respiratory system. Massive bleedings, apart form imminent threats, is associated with strong patient fear and considerably deteriorates quality of life. Immediate diagnosis and active therapy are therefore essential. Emergency measures include facilitating bronchial passage, sedation, intravenous injection of 10–40 ml of 10% NaCl solution, antitussive and antifibrinolitic agents, as well as epinephrine inhalations. Bronchoscopy should be attempted to establish the cause and localisation of bleeding, to allow blood aspiration and clot removal. In selected cases surgical intervention should be considered. Supportive therapy includes antihemostatic agents and compounds stimulating prothrombin synthesis. Effective palliative measure of recurrent pulmonary bleeding is vessel embolisation. Bleeding related to advanced lung cancer should primarily be managed with externalbeam irradiation or brachytherapy.

Abstract

Pulmonary bleedings typically accompany advanced chronic diseases of the respiratory system. Massive bleedings, apart form imminent threats, is associated with strong patient fear and considerably deteriorates quality of life. Immediate diagnosis and active therapy are therefore essential. Emergency measures include facilitating bronchial passage, sedation, intravenous injection of 10–40 ml of 10% NaCl solution, antitussive and antifibrinolitic agents, as well as epinephrine inhalations. Bronchoscopy should be attempted to establish the cause and localisation of bleeding, to allow blood aspiration and clot removal. In selected cases surgical intervention should be considered. Supportive therapy includes antihemostatic agents and compounds stimulating prothrombin synthesis. Effective palliative measure of recurrent pulmonary bleeding is vessel embolisation. Bleeding related to advanced lung cancer should primarily be managed with externalbeam irradiation or brachytherapy.
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Keywords

pulmonary bleedings; irradiation; brachytherapy; embolisation

About this article
Title

Pulmonary bleedings

Journal

Advances in Palliative Medicine

Issue

Vol 2, No 1 (2003): Polish Palliative Medicine

Pages

23-30

Published online

2002-10-30

Bibliographic record

Advances in Palliative Medicine 2003;2(1):23-30.

Keywords

pulmonary bleedings
irradiation
brachytherapy
embolisation

Authors

Ewa Jassem
Jacek Jassem

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