Protocolo diagnóstico y terapéutico de la hemoptisis en Urgencias

  1. D. Sánchez Sendín 1
  2. A. Maganto Sancho 1
  3. D. Micheloud Giménez 1
  4. F.J. Gil Gómez 1
  1. 1 Hospital General Universitario Gregorio Marañón
    info

    Hospital General Universitario Gregorio Marañón

    Madrid, España

    ROR https://ror.org/0111es613

Aldizkaria:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Argitalpen urtea: 2015

Zenbakien izenburua: Urgencias (II): Urgencias respiratorias

Saila: 11

Zenbakia: 88

Orrialdeak: 5289-5295

Mota: Artikulua

DOI: 10.1016/J.MED.2015.10.012 DIALNET GOOGLE SCHOLAR

Beste argitalpen batzuk: Medicine: Programa de Formación Médica Continuada Acreditado

Laburpena

Hemoptysis is the expectoration of blood from the lower respiratory tract. It is usually a self-limited event, even if mass can be a potentially fatal condition requiring the admission of the patient in an intensive care unit and performing diagnostic tests and emergency treatment. Before assuming that the source of bleeding is the lower respiratory tract, it should consider appropriate blood gastrointestinal or upper airway. The diagnostic evaluation should begin with a medical history and physical examination. The chest radiograph is essential and the first diagnostic test to be performed. Bronchoscopy plays a major role, and chest computed tomography and angiography serve as a complement and extension of diagnostic and therapeutic possibilities. Its management must be done in stages, prioritizing the protection of the airway and respiratory and hemodynamic stabilization of the patient, to ensure adequate gas exchange and cardiovascular function.

Erreferentzia bibliografikoak

  • Nuevo González JA, Sevillano Fernández JA, Andueza Lillo JA, Cano Ballesteros JC. Protocolo de diagnóstico y tratamiento de la hemoptisis en Urgencias. Medicine. 2011;10(88):5972-5.
  • Lama Martínez R, Jiménez Murillo L, Santos Luna F, Jurado Gá-mez B, Montero Pérez FJ. Hemoptisis. En: Jiménez Murillo L, Montero Pérez FJ, editores. Medicina de Urgencias y emergencias: Guía diagnóstica y protocolos de actuación. 5ª ed. Barcelona: Else-vier; 2015. p. 236-9.
  • Ingbar DH. Overview of massive hemoptysis. [Monografía en Internet]. Walthman (MA): UpToDate; 2005 [acceso 4 de junio de 2015]. Disponible en: http://www.uptodate.com/.
  • Weinberger SE. Etiology and evaluation of hemoptysis in adults. [Mono-grafía en Internet]. Walthman (MA): UpToDate; 2005 [acceso 4 de junio de 2015]. Disponible en: http://www.uptodate.com/.
  • Earwood JS, Thompson TD. Hemoptysis: evaluation and management. Am Fam Phys. 2015;91(4):243-9.
  • Ingbar DH. Massive hemoptysis: Initial management. [Mono-grafía en Internet]. Walthman (MA): UpToDate; 2005 [acceso 4 de junio de 2015]. Disponible en: http://www.uptodate.com/.
Datuen iturria: Dialnet