Özet:

In developed countries the major cause of haemoptysis is bronchitis; however the infectious pulmonary diseases (or tuberculosis) are mostly considered as the major cause of haemoptysis in developing countries. Between February 2001 and February 2002 we evaluated 68 patients with haemoptysis in III. Clinic in SSK Sureyyapasa Chest and Cardiovascular Diseases Center. Five of these patients were female and 63 male, mean age was 46±18 years (range, 17 to 76 years). Fifty-eight (85.3 %) of the patients had mild, 6 (8.8 %) had moderate, and 4 (5.9 %) had severe haemoptysis. It was found that the cause of haemoptysis was pulmonary tuberculosis in 24 of the cases (35.3 %), lung cancer in 12 (17.65 %), bronchiectasy in 8 (11.7 %), pneumonia in 8 (11.7 %), and inactive pulmonary tuberculosis in 5 cases (7.3 %). The other reasons of haemoptysis were COPD (n=2), cardiac causes (n=2), acute bronchitis (n=2), pulmonary embolism (n=1), hidatyd cyst (n=1), aspergilloma (n=1), and lung abcess (n=1). As the diagnostic procedure chest X ray (n=68), thorax computed tomography (n=42), fiber optic bronchoscopy (n=28) and diagnostic thoracotomy were performed (n=1). As a conclusion, tuberculosis was the major cause of haemoptysis in our series. We strongly believe that effective tuberculosis community control programs can help to change the place of tuberculosis from being the leading cause of haemoptysis in developing countries.

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