Abstract:

OBJECTIVE: Hemoptysis is the expectoration of blood originating from the pulmonary or bronchial vascular system. Hemoptysis is most commonly seen in lung cancers, tuberculosis and bronchiectasis. Also it can be an important clue for many more diseases. In this study, it was aimed to evaluate the patients who applied to our clinic with the complaint of hemoptysis. MATERIAL AND METHODS: In our study, the clinical and radiological findings of 78 patients who applied to our hospital with the complaint of hemoptysis between 1 June 2018 and 1 June 2020 were evaluated retrospectively. RESULTS: The total number of patients was 78, of which 13 (16.67%) were female and 65 (83.33%) were male. The mean age was 59.31 (±16.74). 58 (74.4%) patients had a history of smoking. Of these, 4 (6.9%) were female and 54 (93.1%) were male. There were mild (<30mL) hemoptysis in 27 patients, moderate (30-100mL) in 38 patients, severe (100-600mL) in 5 patients, and massive (>600mL) in 8 patients. In lung radiological imaging of patients; 35 infiltrations, 18 masses, 12 pleural effusions, 9 bronchiectasis, 8 mediastinal LAP, 1 pulmonary embolism, 1 cystic lesion were observed. The underlying pathology that cause hemoptysis in patients were; Lung cancer in 33 (42.3%) patients, pneumonia in 11 (14.1%) patients, and bronchiectasis in 9 (11.3%) patients. While only medical treatment was sufficient in 87 (87.3%) of the patients, 5 (6.4%) of the patients needed bronchial cold saline applications and 5 (6.4%) of them needed bronchial artery embolization. Mortality was observed in 8 (10.2%) of the patients. CONCLUSIONS: It is important to determine the etiology in hemoptysis. Arrangement of medical or surgical treatment for etiology is of vital importance for patients.

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