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[Acute respiratory insufficiency caused by diffuse pulmonary hemorrhage].
J Gauthier1, D Chassard, P Gelas
1Département d'Anesthésie-Réanimation, Hôtel-Dieu, Lyon.
Annales Francaises D'Anesthesie Et De Reanimation
|January 1, 1992
Summary
Diffuse pulmonary hemorrhage can cause adult respiratory distress syndrome (ARDS). This study reports two cases of ARDS due to pulmonary hemorrhage, highlighting the need to consider this condition in differential diagnoses.
Area of Science:
- Pulmonology
- Critical Care Medicine
Background:
- Adult respiratory distress syndrome (ARDS) is a severe condition characterized by acute respiratory failure.
- Diffuse pulmonary hemorrhage is a rare but serious cause of respiratory distress.
Observation:
- Two adult patients presented with severe isolated hypoxemia and bilateral alveolar infiltrates on chest X-ray.
- Bronchoscopy revealed a diffusely bleeding bronchial tree in both patients.
Findings:
- One patient had ARDS secondary to severe thrombocytopenia from treatment for hemorrhagic rectocolitis.
- The second patient developed ARDS due to vasculitis associated with primary biliary cirrhosis, presenting with hemoptysis.
Implications:
- Diffuse pulmonary hemorrhage should be recognized as a potential cause of ARDS.
- Early diagnosis and management, including mechanical ventilation, are crucial for patient survival.