HEMORRHAGIC ENDOBRONCHIAL SYNDROME IN PULMONOLOGY PRACTICE: BRONCHOSCOPY FINDINGS


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Abstract

Hemorrhagic endobronchial symptoms were studied using the materials of 16,582 (100.0%) primary bronchoscopic biopsies from patients with nonspecific nontumor lung diseases. Hemorrhagic changes in the tracheobronchial tree mucosa, which were designated as hemorrhagic endobronchial syndrome, were detected in 793 (4.8%) patients. The studies revealed the following variants of hemorrhagic endobronchial syndrome: multiple petechial hemorrhages, hemorrhages from limited mucosal ruptures, and a hemorrhagic component of bronchial secretion. A combination of the hemorrhagic component of bronchial secretion and one or two other signs was found in a number of cases. A flow chart was proposed to assess the hemorrhagic component of bronchial secretion, by identifying its three grades. In most cases, the hemorrhagic endobronchial syndrome was clinically equivalent to hemoptysis or moderate pulmonary hemorrhage. No association was found between one or other variant of hemorrhagic endobronchial syndrome and specific nosological entities.

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About the authors

M. L Shteiner

Samara City Hospital Four; Samara State Medical University

Email: iishte@yandex.ru
MD

A. V Zhestkov

Samara State Medical University

Email: iishte@yandex.ru
Professor, MD

Yu. I Biktagirov

Samara State Medical University

Email: iishte@yandex.ru
Candidate of Medical Sciences

S. A Babanov

Samara State Medical University

Email: iishte@yandex.ru
Professor, MD

E. A Korymasov

Samara State Medical University

Email: iishte@yandex.ru
Professor, MD

E. P Krivoshchekov

Samara State Medical University

Email: iishte@yandex.ru
Professor, MD

A. D Protasov

Samara State Medical University

Email: iishte@yandex.ru
MD

O. S Kozlova

Samara State Medical University

Email: iishte@yandex.ru
Candidate of Medical Sciences

V. V Kulagina

Medical University «REAVIZ»

Email: iishte@yandex.ru
Candidate of Medical Sciences

T. P Khuraskina

Primary Healthcare Unit, Ministry of Internal Affairs of Russia in the Samara Region

Email: iishte@yandex.ru

References

  1. Lemoine J. Les bronchites chronigues. Bronches. 1965; 15 (2): 129-42. doi: 10.1159/000192011
  2. Герасин В.А. Бронхологические методы в диагностике, лечении и оценки функционального состояния бронхиального дерева при заболеваниях легких. Автореф. дисс. д-ра мед. наук. Л., 1981
  3. Лукомский Г.И., Шулутко М.Л., Виннер М.Г. и др. Бронхопульмонология. М.: Медицина, 1982; 399 с.
  4. Oho K., Amemiya R. Practical Fiberoptic Bronchoscopy. 2nd Edn. Tokyo: Igaky-Shoin, 1984; 156 р.
  5. Непомнящих Г.И. Биопсия бронхов: морфогенез общепатологических процессов в легких. М.: Медицина, 2005; 384 с.
  6. Блашенцева С.А., Богданов В.Е., Блашенцев К.В. и др. Современные аспекты диагностики и лечения острых гнойных абсцессов легких. Самара: ГП «Перспектива», 2002; 152 с.
  7. Штейнер М.Л. Фибробронхоскопия: алгоритм применения. Уральский мед. журн. 2011; 14 (92): 29-33
  8. Bidwell J., Pachner R. Hemoptysis: Diagnosis and Management. Am Fam Physician. 2005; 72 (7): 1253-60.
  9. Teerataculpisarn J., Srinakarin J., Tontisirin C. et al. Pulmonary tuberculosis in a shild presenting with acute Hemoptysis. Pediatr Pulmonol. 2006; 41 (1): 98-101. doi: 10.1002/ppul.20335
  10. Чернеховская Н.Е., Коржева И.Ю., Поваляев А.В. и др. Этиопатогенез легочных кровотечений. Пульмонология. 2010; 4: 106-10
  11. Mulshine J., Smith R. Lung cancer: screening and early diagnosis of lung cancer. Thorax. 2002; 57: 1071-8. doi: 10.1136/thorax.57.12.1071.
  12. Vanni S., Bianchi S., Bigiarini S. et al. Management of patients presenting with haemoptysis to a Tertiary Care Italian Emergency Department: the Florence Haemoptysis Score (FLHASc). Int Emerg Med. 2018; 13 (3): 397-404. doi: 10.1007/s11739-017-1618-8
  13. Самсонова М.В., Черняев А.Л. Альвеолярный геморрагический синдром и кровотечения в легких. Атмосфера. Пульмонология и аллергология. 2013; 3: 66-9
  14. Lara A., Schwarz M. Diffuse Alveolar Hemorrhage. CTest. 2010; 137 (5): 1164-71. doi: 10.1378/chest.08-2084
  15. Поздеев О.К. Медицинская микробиология. Под ред. В.И. Покровского. М.: ГЭОТАР-МЕД, 2002; 768
  16. Ходош Э.М., Потейко П.И., Крутько В.С. Кровохарканье: диагностические аспекты. Новости медицины и фармации (Украина). 2014; 19 (517): 8-10
  17. Abal A., Nair P., Cherian J. Haemoptysis: aetiology, evaluation and outcome - a prospective study in a third-world country. Respiratory Medicine. 2001; 95: 548-52. doi: 10.1053/rmed.2001.1053
  18. Cantu J., Wang D., Safdar Z. Clinical Implications of Hemoptysis in Patients with Pulmonary Arterial Hypertension. Int J Clin Pract Suppl. 2012; 177: 5-12. doi: 10.1111/ijcp.12004
  19. Штейнер М.Л., Жестков А.В., Бабанов С.А. и др. Клиническое значение геморрагического компонента эндобронхиального воспаления при тяжелом обострении ХОБЛ. Тер. арх. 2019; 91 (3): 17-21

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