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장중현 ( Jang Jung Hyeon ),이홍렬 ( Lee Hong Lyeol ),곽승민 ( Gwag Seung Min ),김세규 ( Kim Se Gyu ),장준 ( Jang Jun ),안철민 ( An Cheol Min ),김성규 ( Kim Seong Gyu ),이원영 ( Lee Won Yeong ) 대한내과학회 1993 대한내과학회지 Vol.44 No.6
Background : Hemoptysis being a nonspecific symptom often presents a diagnostic dilemma, requiring the aid of even flexible bronchofiberscopy, a novel approach, for disgnosis, especially in the cases where hemoptysis attack is repetitive or where diagnosis is tentative at best. Bronchoscopy is essential for pathologic diagnosis of lung cancer, which must be differentiated from other causes of hemoptysis. Methods : The authors evaluated a total of 479 patients who underwent bronchoscopy for the purpose of diagnosis of hemopysis. Results : 1) Active pulmonary tuberculosis was the most common cause of hemoptysis, followed by chronic bronchitis, lung cancer, and bronchiectasis. 2) The most common diagnosis by bronchoscopy was bronchitis, followed by active tuberculosis, and lung cancer. 3) It was possible in 47.2 percent of cases to identify bleeding points on bronchoscopy. The bleeding sites were most frequent in both upper lobes without predilection for each lung. 4) The most common cause of blood-tinged sputum was chronic bronchitis, active tuberculosis, or lung cancer, whereas massive hemoptysis i.e., more than 200mL of blood a day, was the result of active tuberculosis, bronchiectasis, or aspergilloma.5) Advanced age (especially more than 50 years), history of smoking or more than one month of blood-tinged sputum were significantly more common in the patients with than without lung cancer. Conclusion : Flexible bronchofiberscopy is essential for the diagnosis of underlying causes of hemoptysis. The high incidence of active tuberculosis and tuberculosis-related diseases in our patients seems to reflect this hospital being a tertiary care center to which often the problem cases are referred.