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[Acute respiratory insufficiency caused by diffuse pulmonary hemorrhage].

Abstract
Two cases of adult respiratory distress syndrome due to diffuse pulmonary haemorrhage are reported. The first patient was treated with azathioprine, prednisolone, cyclosporine and ranitidine for haemorrhagic rectocolitis; the second has untreated primary biliary cirrhosis. Haemoptysis only occurred in the latter. Both had severe isolated hypoxaemia. Chest X-rays revealed bilateral alveolar infiltrates. Bronchoscopies showed a diffusely bleeding bronchial tree. Both patients recovered after having been mechanically ventilated with positive end-expiratory pressure for six and eight days respectively. The cause of the diffuse pulmonary haemorrhage was, in the first case, severe thrombocytopaenia (17,000 G.1-1) of central origin, and, in the other patient, an unspecified vasculitis. Diffuse pulmonary haemorrhage should be added to the list of possible causes of the adult respiratory distress syndrome.
AuthorsJ Gauthier, D Chassard, P Gelas, M Guiraud, P Bouletreau
JournalAnnales francaises d'anesthesie et de reanimation (Ann Fr Anesth Reanim) Vol. 11 Issue 2 Pg. 205-8 ( 1992) ISSN: 0750-7658 [Print] France
Vernacular TitleInsuffisance respiratoire aiguë par hémorragie pulmonaire diffuse.
PMID1503295 (Publication Type: Case Reports, Journal Article)
Topics
  • Adult
  • Female
  • Hemorrhage (complications, etiology)
  • Humans
  • Immunocompromised Host
  • Lung Diseases (complications, etiology)
  • Male
  • Middle Aged
  • Respiratory Distress Syndrome (etiology)
  • Respiratory Insufficiency (etiology)
  • Thrombocytopenia (complications)
  • Vasculitis (complications)

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