Abstract

CUERVO, Francisco; GIRALDO, Luis F; VELEZ, Carlos  and  FORERO, María R. Fibrinogen-thrombin as bridge therapy in massive hemoptysis. Biomédica [online]. 2013, vol.33, n.1, pp.28-33. ISSN 0120-4157.  https://doi.org/10.7705/biomedica.v33i1.580.

This article presents the case of a young woman with massive hemoptysis (1,000 mL in 6 hours) due to tuberculosis, which could not be controlled by insertion of a Fogarty catheter through a fiber-optic bronchoscope. Because of asphyxia and persistent bleeding risk we instilled fibrinogen-thrombin through a fiber-optic bronchoscope inserted catheter, achieving bleeding cessation and permitting the placing of a double-lumen oro-tracheal tube. Later on, the patient underwent lobectomy and anti-tuberculosis treatment. The fibrinogen-thrombin could be considered as a bridge, transitory measure for massive hemoptysis, while definitive treatment could be established.

Keywords : Hemoptysis; bronchoscopy; fibrin; thrombin; tuberculosis.

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