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VOL. 8, ISSUE 1 (2022)
to evaluate the patients with active hemoptysis in a tertiary care hospital
Authors
Jagpoornima Katoch, R S Negi
Abstract
Aim: To evaluate the patients with active hemoptysis in a tertiary care hospital. Methods: This study was done the Department of Pulmonary medicine. 100 patients of active hemoptysis were included in this study. After a complete history and physical examination, investigations were sent. Routine blood investigations including Hb%, complete blood count, PT-INR, Bleeding time, clotting time were sent. CT thorax was done for all the patients. CT confirms the presence of bronchiectasis. Sputum test was done for all the patients. The sputum test included sputum microscopy by Ziehl-Neelsen staining, CB-NAAT, fungal staining, BACTEC culture, gram staining and culture sensitivity. Results: Total 100 patients were included in the study. Out of that male were 65 and female 35. Average age of the patients was 47.98 years. 50(50%) patients had active pulmonary tuberculosis, 23 (23%) patients were suffering from bronchiectasis, 9 patients had malignancy, 4 patients were suffering from pneumonia, 4 patients had fungal ball, 2 patients had collagen vascular diseases,1 patient was found to be having a mitral stenosis related complication, 1 patient had pulmonary embolism, 2 patients presented with hemoptysis due to chest trauma, the etiology of hemoptysis for 4 patients could not be identified. According to the severity of active hemoptysis, as shown in table 2, 46 patients presented with mild hemoptysis, 29 patients presented with moderate hemoptysis, while 25 patients had come to the emergency with complaints of massive hemoptysis. Among the mild hemoptysis group, 19 patients had tuberculosis, 10 had bronchiectasis, 7 had malignancy, 7 had pneumonia, mitral stenosis 1, one patient had pulmonary embolism, 4 patients’ etiology could not be identified. Among the patients presented with moderate hemoptysis 17 patient had tuberculosis, 4 had bronchiectasis, 2 had malignancy, fungal ball 4, 2 patients had collagen vascular diseases. Among the massive hemoptysis patients, 14 patients had tuberculosis, 9 had bronchiectasis, 2 patients presented with trauma chest. Conclusion: Hemoptysis is a common symptom with a good prognosis in most cases. The most common cause of hemoptysis is active pulmonary tuberculosis. The second common cause is bronchiectasis. Most of the cases presented with massive hemoptysis are due to pulmonary tuberculosis.
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Pages:13-16
How to cite this article:
Jagpoornima Katoch, R S Negi "to evaluate the patients with active hemoptysis in a tertiary care hospital ". International Journal of Medical and Health Research, Vol 8, Issue 1, 2022, Pages 13-16
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