Hemorrhagic endobronchial syndrome in pulmonology practice: bronchoscopy findings
DOI: https://doi.org/10.29296/25877305-2020-07-06
Issue:
7
Year:
2020
Hemorrhagic endobronchial symptoms were studied using the materials of 16,582 (100.0%) primary
bronchoscopic biopsies from patients with nonspecific nontumor lung diseases. Hemorrhagic changes in the
tracheobronchial tree mucosa, which were designated as hemorrhagic endobronchial syndrome, were detected in
793 (4.8%) patients. The studies revealed the following variants of hemorrhagic endobronchial syndrome:
multiple petechial hemorrhages, hemorrhages from limited mucosal ruptures, and a hemorrhagic component of
bronchial secretion. A combination of the hemorrhagic component of bronchial secretion and one or two other
signs was found in a number of cases. A flow chart was proposed to assess the hemorrhagic component of
bronchial secretion, by identifying its three grades. In most cases, the hemorrhagic endobronchial syndrome
was clinically equivalent to hemoptysis or moderate pulmonary hemorrhage. No association was found between
one or other variant of hemorrhagic endobronchial syndrome and specific nosological entities.
Keywords:
pulmonology
bronchoscopy
nonspecific nontumor lung diseases
hemorrhagic endobronchial syndrome
hemorrhagic component of bronchial secretion
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