Лечение кровохарканья в отделении экстренной медицинской помощи

А.Н. Венкатеш, Х. Раджанна

Abstract

We present a case of 21y old man who had presented to our hospital with hemoptysis and breathing
difficulty. He was previously been diagnosed as having pulmonary Koch’s and had received treatment
for same. Now had presented with worsening hemoptysis. While he was waiting in ER for pulmonologist
initial management was initiated. After being reviewed by specialty team they wanted to do bronchial
arterial embolization. While team and theatre were preparing, patient was in emergency room (ER) and
his hemoptysis was getting worse. This made me search for available options for management of sever
haemoptysis in ER. Though the definitive (non-surgical) management is arterial embolization. We look
for management option in ER while the definitive treatment is being arranged, or if patient needs to be
transferred to place of definitive treatment, or if there is no option of arterial embolization. We learn from
the review that ER can play its role in stabilizing these patients. They can also initiate management measure
to transfer patient to specialty centre, where needed. In places and situation where no further care
is available these additional measure could make a difference in helping manage patients with pulmonary
Hemorrhage.
Learning Points:
– The initial assessment and management of patients with severe hemoptysis in ED.
– Further steps which could be undertake in ED to stop or control sever hemoptysis.