血痰症について

抄録

In our daily practice, we often encounter patients with a chief complaint of hemoptysis. It has been on these patients that we took aggressive approaches by doing bronchoscopies to locate the hemorrhagic sites. During the bronchoscopies the lesions were recorded by photographs and movies.
Total of 190 cases, 116 of which were already reported previously for hemoptysis, were bronchscoped and the results were analyzed for literature review and discussion.
It was shown that our statistical results were quite different from the reports made by others, impling that a previous concept hemoptysis indicate tuberculosis was to be discarded. Discrepancies of the results were presumably due to the facts that age of the reports made, hospitals, specialities of the reporters, diseases treated by such specialists, diagnostic methods and quality of laboratory examinations were all different.
It was our impression that etiologies of the hemoptysis were changing, namely from tuberculosis to acute or chronic bronchitis and lately to malignant tumors and/or circulatory disturbances. These days laboratory examinations have been so refined that causes of so-called spontaneous hemoptysis begin to be settled. Therefore, specific treatments can be established readily and the better results are expected.