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        "resumen" => "<span><span class="elsevierStyleSectionTitle">Objectivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Avaliar doentes admitidos por hemoptises quanto &#224; etiologia&#44; meios diagn&#243;sticos&#44; tratamento e evolu&#231;&#227;o&#46;</p></span> <span><span class="elsevierStyleSectionTitle">Material e m&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Realizou-se um estudo retrospectivo dos doentes admitidos no Hospital de S&#227;o Jo&#227;o&#44; por hemoptises&#44; entre 01 de Janeiro de 2004 e 31 de Dezembro de 2008&#46;</p></span> <span><span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Foram estudados 237 doentes&#44; com idade m&#233;dia de 57&#46;9 anos&#46; Nos doentes com idade inferior a 18 anos&#44; os diagn&#243;sticos mais frequentes foram Bronquiectasias e Cardiopatia cong&#233;nita&#46; Nos adultos&#44; as Sequelas de Tuberculose Pulmonar e as Bronquiectasias foram os diagn&#243;sticos predominantes &#40;22&#46;2&#37; e 15&#46;8&#37;&#44; respectivamente&#41;&#44; seguidos pela neoplasia pulmonar&#46; A infec&#231;&#227;o foi respons&#225;vel pelas perdas hem&#225;ticas em 51 doentes&#44; essencialmente Tuberculose Pulmonar&#44; Pneumonia e Traqueobronquite&#46; A etiologia ficou por esclarecer em 6&#46;3&#37;&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Todos os doentes realizaram radiografia de t&#243;rax&#46; A TAC foi realizada em 81&#46;4&#37; dos doentes e a Broncofibroscopia em 52&#46;7&#37;&#44; esta &#250;ltima localizando a fonte da hemorragia em 38&#46;4&#37; e estabelecendo diagn&#243;stico definitivo em 17&#46;6&#37;&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Na maioria dos casos &#40;90&#46;7&#37;&#41;&#44; a hemorragia foi controlada com tratamento m&#233;dico&#46; Ao longo destes 5 anos&#44; 11&#46;8&#37; dos doentes foram submetidos a emboliza&#231;&#227;o arterial&#44; sendo a preven&#231;&#227;o de recidiva o principal motivo da sua realiza&#231;&#227;o&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Foram registados 14 &#243;bitos &#40;5&#44;9&#37;&#41;&#44; sendo identificados&#44; como factores de mau progn&#243;stico&#44; a instabilidade hemodin&#226;mica e a etiologia neopl&#225;sica&#46;</p></span> <span><span class="elsevierStyleSectionTitle">Conclus&#227;o</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">As hemoptises continuam a ser um sintoma frequente&#44; sendo actualmente as sequelas associadas a infec&#231;&#245;es cr&#243;nicas e as neoplasias as principais etiologias&#46; Neste estudo&#44; os factores de pior progn&#243;stico foram a instabilidade hemodin&#226;mica e a etiologia neopl&#225;sica&#46;</p></span>"
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        "resumen" => "<span><span class="elsevierStyleSectionTitle">Objective</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Evaluate patients admitted for hemoptysis&#44; its etiology&#44; use of diagnostic tests&#44; treatment and outcome&#46;</p></span> <span><span class="elsevierStyleSectionTitle">Methods</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">A retrospective analysis was done&#44; checking clinical files of patients admitted for hemoptysis&#44; between 1<span class="elsevierStyleSup">st</span> January 2004 and 31<span class="elsevierStyleSup">st</span> December 2008&#46;</p></span> <span><span class="elsevierStyleSectionTitle">Results</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Two hundred and thirty seven patients were included in this study&#44; with a mean age of 57&#46;9 years&#46; In patients under 18 years&#44; the most frequent diagnoses were Bronchiectasis and Congenital Cardiopathy&#46; In adults&#44; Pulmonary Tuberculosis Sequelae and Bronchiectasis were the dominant diagnoses &#40;22&#46;2&#37; and 15&#46;8&#37;&#44; respectively&#41;&#44; followed by Lung Cancer&#46; Active infection was responsible for bleeding in 51 patients&#44; especially Pulmonary Tuberculosis&#44; Pneumonia and Tracheobronchitis&#46; The etiology of hemoptysis was not established in 6&#46;3&#37;&#46;</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">All patients performed chest X-Ray&#46; Chest CT was performed in 81&#46;4&#37; of patients and Fiberoptic bronchoscopy in 52&#46;7&#37;&#44; the latter locating the source of bleeding in 38&#46;4&#37; and establishing a final diagnosis in 17&#46;6&#37;&#46;</p><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">In most patients&#44; effective control of bleeding was achieved by medical treatment &#40;90&#46;7&#37;&#41;&#46;</p><p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">During these 5 years&#44; arterial embolization was performed in 11&#46;8&#37; of patients&#46; The main reason for embolization was recurrence prevention&#46;</p><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">There were 14 deaths &#40;5&#46;9&#37;&#41;&#44; being identified as poor prognostic factors&#44; hemodynamic instability and malignancy&#46;</p></span> <span><span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">Hemoptysis is still a frequent symptom&#44; being chronic infection sequelae and lung cancer their main causes&#46; In this study&#44; factors associated with a worse prognosis were hemodynamic instability and malignancy&#46;</p></span>"
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Hemoptises-etiologia, avaliação e tratamento num hospital universitário
Hemoptysis — etiology, evaluation and treatment in a university hospital
F. Soares Pires
Corresponding author
filipasp@gmail.com

Autor para correspondência.
, N. Teixeira, F. Coelho, C. Damas
Serviço de Pneumologia, Hospital de São João, Porto, Portugal
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    "titulo" => "Hemoptises-etiologia&#44; avalia&#231;&#227;o e tratamento num hospital universit&#225;rio"
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        "resumen" => "<span><span class="elsevierStyleSectionTitle">Objectivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Avaliar doentes admitidos por hemoptises quanto &#224; etiologia&#44; meios diagn&#243;sticos&#44; tratamento e evolu&#231;&#227;o&#46;</p></span> <span><span class="elsevierStyleSectionTitle">Material e m&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Realizou-se um estudo retrospectivo dos doentes admitidos no Hospital de S&#227;o Jo&#227;o&#44; por hemoptises&#44; entre 01 de Janeiro de 2004 e 31 de Dezembro de 2008&#46;</p></span> <span><span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Foram estudados 237 doentes&#44; com idade m&#233;dia de 57&#46;9 anos&#46; Nos doentes com idade inferior a 18 anos&#44; os diagn&#243;sticos mais frequentes foram Bronquiectasias e Cardiopatia cong&#233;nita&#46; Nos adultos&#44; as Sequelas de Tuberculose Pulmonar e as Bronquiectasias foram os diagn&#243;sticos predominantes &#40;22&#46;2&#37; e 15&#46;8&#37;&#44; respectivamente&#41;&#44; seguidos pela neoplasia pulmonar&#46; A infec&#231;&#227;o foi respons&#225;vel pelas perdas hem&#225;ticas em 51 doentes&#44; essencialmente Tuberculose Pulmonar&#44; Pneumonia e Traqueobronquite&#46; A etiologia ficou por esclarecer em 6&#46;3&#37;&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Todos os doentes realizaram radiografia de t&#243;rax&#46; A TAC foi realizada em 81&#46;4&#37; dos doentes e a Broncofibroscopia em 52&#46;7&#37;&#44; esta &#250;ltima localizando a fonte da hemorragia em 38&#46;4&#37; e estabelecendo diagn&#243;stico definitivo em 17&#46;6&#37;&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Na maioria dos casos &#40;90&#46;7&#37;&#41;&#44; a hemorragia foi controlada com tratamento m&#233;dico&#46; Ao longo destes 5 anos&#44; 11&#46;8&#37; dos doentes foram submetidos a emboliza&#231;&#227;o arterial&#44; sendo a preven&#231;&#227;o de recidiva o principal motivo da sua realiza&#231;&#227;o&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Foram registados 14 &#243;bitos &#40;5&#44;9&#37;&#41;&#44; sendo identificados&#44; como factores de mau progn&#243;stico&#44; a instabilidade hemodin&#226;mica e a etiologia neopl&#225;sica&#46;</p></span> <span><span class="elsevierStyleSectionTitle">Conclus&#227;o</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">As hemoptises continuam a ser um sintoma frequente&#44; sendo actualmente as sequelas associadas a infec&#231;&#245;es cr&#243;nicas e as neoplasias as principais etiologias&#46; Neste estudo&#44; os factores de pior progn&#243;stico foram a instabilidade hemodin&#226;mica e a etiologia neopl&#225;sica&#46;</p></span>"
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        "titulo" => "Abstract"
        "resumen" => "<span><span class="elsevierStyleSectionTitle">Objective</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Evaluate patients admitted for hemoptysis&#44; its etiology&#44; use of diagnostic tests&#44; treatment and outcome&#46;</p></span> <span><span class="elsevierStyleSectionTitle">Methods</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">A retrospective analysis was done&#44; checking clinical files of patients admitted for hemoptysis&#44; between 1<span class="elsevierStyleSup">st</span> January 2004 and 31<span class="elsevierStyleSup">st</span> December 2008&#46;</p></span> <span><span class="elsevierStyleSectionTitle">Results</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Two hundred and thirty seven patients were included in this study&#44; with a mean age of 57&#46;9 years&#46; In patients under 18 years&#44; the most frequent diagnoses were Bronchiectasis and Congenital Cardiopathy&#46; In adults&#44; Pulmonary Tuberculosis Sequelae and Bronchiectasis were the dominant diagnoses &#40;22&#46;2&#37; and 15&#46;8&#37;&#44; respectively&#41;&#44; followed by Lung Cancer&#46; Active infection was responsible for bleeding in 51 patients&#44; especially Pulmonary Tuberculosis&#44; Pneumonia and Tracheobronchitis&#46; The etiology of hemoptysis was not established in 6&#46;3&#37;&#46;</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">All patients performed chest X-Ray&#46; Chest CT was performed in 81&#46;4&#37; of patients and Fiberoptic bronchoscopy in 52&#46;7&#37;&#44; the latter locating the source of bleeding in 38&#46;4&#37; and establishing a final diagnosis in 17&#46;6&#37;&#46;</p><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">In most patients&#44; effective control of bleeding was achieved by medical treatment &#40;90&#46;7&#37;&#41;&#46;</p><p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">During these 5 years&#44; arterial embolization was performed in 11&#46;8&#37; of patients&#46; The main reason for embolization was recurrence prevention&#46;</p><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">There were 14 deaths &#40;5&#46;9&#37;&#41;&#44; being identified as poor prognostic factors&#44; hemodynamic instability and malignancy&#46;</p></span> <span><span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">Hemoptysis is still a frequent symptom&#44; being chronic infection sequelae and lung cancer their main causes&#46; In this study&#44; factors associated with a worse prognosis were hemodynamic instability and malignancy&#46;</p></span>"
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ISSN: 08732159
Original language: Portuguese
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