Hasan Özdemir

Masif Hemoptizi (Bir Olgu Nedeniyle)

SuleymanDemirel Universitesi TIP FAKULTESI DERGISI: 1995 Aralik; 2(4) Masif Hemoptizi (Bir Olgu Nedeniyle) Omer Soysal H. Berat Cihan Metin Gulculer Oner Gulcan Hasan Ozdemir Mustafa Pac Ozet Masif hemopiizi 24 saatte 600 mi ve uzeri kanama olarak tanimlanmaktadir. Sebepleri arasinda tuberkuloz ve bronsektazi onemli yer tutmaktadir. Masif hemoptizinin klinik onemi hipovotemi ve bundan daha onemli olarak asfiksi nedeniyle mortalitesinin cok yuksek olmasidir. Cerrahi tedavi mortaliteyi cok dusurmektedir. Bu nedenle tani konulup kanamanin akut kontrolu yapildiktan sonra, acil olarak cerrahi tedavi onerilmektedir. Masif hemoptizi ile seyreden bir travmatik brons rupturu ve pulmoner arter rupturu olgusu nadir olmasi nedeniyle sunulmus, ve masif hemoptiziye yaklasim ve tedavisi tartisilmistir. Anahtar Kelimeler: Masif hemoptizi, travma. Abstract Massive Hemoptysis (A Case Report) Massive hemoptysis is defined as hemorrhage of 600 mi or more in 24 hours. Tuberculosis and bronchiectasis are the most common causes of massive hemoptysis. it is very important clinically because of the high mortality due to hypovolemia and especially asphyxia. Surgical treatment significantly decreases mortality rate. Therefore, after the diagnosis is established, emergent surgical treatment is recommended. A patient with massive hemoptysis due to traumatic bronchus and pulmonary artery rupture is presented because ofits rarity, and the management of massive hemoptysis is discussed. Key Words: Massive hemoptysis, trauma.