Intrabronchial selective coagulative treatment of hemoptysis. Report of three cases

In three patients with hemoptysis, fibrin precursors were sprayed into the bronchus selectively to the site of the bleeding. In this way, four hemoptyses, resistant to other therapy, were arrested without any adverse effect. The total loss of blood was estimated at least 9 L, and it was substituted by transfusion of more than 8 L. The new method is described and its possible modes of action are discussed. This selective intrabronchial local coagulative method may be the proper symptomatic treatment of choice if causal therapy is ineffective or not available for any reason.