Abstract
This article presents the case of a young woman with massive hemoptysis (1,000 mL in 6 hours) due to tuberculosis, which could not be controlled by insertion of a Fogarty catheter through a fiber-optic bronchoscope. Because of asphyxia and persistent bleeding risk we instilled fibrinogen-thrombin through a fiber-optic bronchoscope inserted catheter, achieving bleeding cessation and permitting the placing of a double-lumen oro-tracheal tube. Later on, the patient underwent lobectomy and anti-tuberculosis treatment. The fibrinogen-thrombin could be considered as a bridge, transitory measure for massive hemoptysis, while definitive treatment could be established.
Publication types
-
Case Reports
-
English Abstract
-
Research Support, Non-U.S. Gov't
MeSH terms
-
Adult
-
Antitubercular Agents / therapeutic use
-
Aprotinin / administration & dosage
-
Aprotinin / therapeutic use*
-
Balloon Occlusion
-
Bronchoscopy / methods
-
Catheters
-
Cholangiopancreatography, Endoscopic Retrograde / instrumentation
-
Combined Modality Therapy
-
Drug Combinations
-
Emergencies
-
Factor XIII / administration & dosage
-
Factor XIII / therapeutic use*
-
Female
-
Fiber Optic Technology
-
Fibrin Tissue Adhesive / administration & dosage
-
Fibrin Tissue Adhesive / therapeutic use*
-
Fibrinogen / administration & dosage
-
Fibrinogen / therapeutic use*
-
Hemoptysis / etiology
-
Hemoptysis / surgery
-
Hemoptysis / therapy*
-
Hemostatic Techniques* / instrumentation
-
Humans
-
Intubation, Intratracheal / instrumentation
-
Pneumonectomy
-
Thrombin / administration & dosage
-
Thrombin / therapeutic use*
-
Tuberculosis, Pulmonary / complications
-
Tuberculosis, Pulmonary / drug therapy
-
Tuberculosis, Pulmonary / surgery
Substances
-
Antitubercular Agents
-
Drug Combinations
-
Fibrin Tissue Adhesive
-
beriplast P combi set
-
Fibrinogen
-
Factor XIII
-
Aprotinin
-
Thrombin