دانلود رایگان مقاله انگلیسی رویکرد هموپتیز در عصر مدرن - هینداوی 2017

Hemoptysis is a frequent manifestation of a wide variety of diseases, with mild to life-threatening presentations. (e diagnostic workup and the management of severe hemoptysis are often challenging. Advances in endoscopic techniques have led to di0erent new therapeutic approaches. Cold saline, vasoconstrictive and anti1brinolytic agents, oxidized regenerated cellulose, biocompatible glue, laser photocoagulation, argon plasma coagulation, and endobronchial stents and valves are amongst the tools available to the bronchoscopist. In this article, we review the evidence regarding the de1nition, etiology, diagnostic modalities, and treatment of severe hemoptysis in the modern era with emphasis on bronchoscopic techniques.

6. Conclusion

Hemoptysis remains an important and sometimes challenging medical issue. No diagnostic modality is universally superior, and each case needs to be individually approached. While bronchial artery embolization remains the cornerstone of the management of severe or persistent hemoptysis, many new endoscopic procedures have demonstrated signs of ePcacy in recent years. Further data need to be obtained about the longer term results of these procedures. Comparison to placebo in addition to standard of care is also necessary, since hemoptysis frequently resolves spontaneously. Larger placebo-controlled trials of tranexamic acid perfusion in hemoptysis would also be of interest. Little is known about hemoptysis, and it remains an area of interest for future research.