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03-18-2009, 11:00 AM
Management of haemoptysis

Diagnosis:
1- History and physical ex. to be sure that the source is pulmonary and not from the nasopharynx or GIT
2- Investigation: X-ray chest Sputum cytology
Anti G B.M Ab Bronchoscopy
Treatment:
a- Minor haemoptysis -1 treatment of the cause
b- Massive haemoptysis (i.e. > 600 mg over 48 hrs)
● Supportive care the pts should be positioned with the bleeding side in dependent position to reduce aspiration to the contralatral lung
● Detinitive therapy:
1- Tamponade of the bleeding segment with a balloon catheter
2- Endobronchial cold saline
3- Embolization of the bronchial artery supplying the bleeding
segment through pulmonary catheder.
4- I.V vasopressine
5- Surgical resection of the bleeding site.

Source: Internal Medicine Book of Dr.Osama Mahmoud (Ain Shams University)