PDF(Pubmed)
Abstract：
Haemoptysis is a frequently encountered presentation in thoracic surgery practice. Most of the patients present with chronic haemoptysis while 5% of them will present with life-threatening acute haemoptysis. Emergency surgery used to be the first-line management in acute life-threatening haemoptysis which resulted in significant morbidity and mortality. With advancements in interventional procedures, most of these acute presentations are now being managed conservatively by interventionists. In a country like India with a high incidence of tuberculosis and other infectious diseases of the lungs, haemoptysis is even more common. While interventional procedures help to tide over the crisis and earn valuable time to stabilise a haemorrhaging patient, surgical resection is the definitive management most of the time. This review will endeavour to establish the definition, aetiology, emergency, and definitive management of a patient who presents with haemoptysis.
摘要：
咯血是胸外科实践中经常遇到的表现。大多数患者出现慢性咯血，而其中5％将出现危及生命的急性咯血。急诊手术曾经是急性危及生命的咯血的一线治疗方法，可导致大量的发病率和死亡率。随着介入程序的进步，现在，大多数这些急性陈述都由干预主义者保守地管理。在像印度这样的国家，结核病和其他肺部传染病的发病率很高，咯血更常见。虽然介入手术有助于渡过危机并赢得宝贵的时间来稳定出血患者，大多数时候，手术切除是确定的治疗方法。这项审查将努力确定定义，病因学，紧急情况,以及对出现咯血的患者的明确管理。
