抄録
From experiences of three cases of bronchopulmonary hemorrhage on which emergency bronchoscopies were performed, the importance of prevention of asphxia due to hemorrhage was discussed.
Bronchoscopy had been thought as contraindicated for a massive hemorrhage from the respiratory tract, however, this thought should be revised. Bronchoscopic removal of neoplastic tissue or mass in the tracheobronchial tree, resembling a blood clot, should be postponed until these tissue or mass were identified by fiberoptic examination.
In our experiences, an extensive hemorrhgic lesion in the bronchus was controlled by compressing with a piece of long and thin sponge soaked with hemostatic solution guided by a forceps through bronchoscope, and the authors thought that the duration of introduction of bronchoscope and compression of the hemorrhagic lesion should be within 10 minutes, although condition of patient and the airway was carefully observed.
In case of uncontrollable hemorrhage, chest surgeons are needed to be consulted immediately on controlling hemorrhage.
The authors urged otolaryngologist to keep always a good partnership with staffs in the other related department.
