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Intrapulmonary haematoma complicating mechanical ventilation in patients with chronic obstructive pulmonary disease
G Bonmarchand1, E Lefebvre, G Lerebours-Pigeonnière
1Intensive care unit, Hôpital Charles Nicolle, Rouen, France.
Intensive Care Medicine
|January 1, 1988
Abstract:
Intrapulmonary haematomas occurred during mechanical ventilation of two patients with advanced chronic obstructive pulmonary disease and bullous dystrophy. In both cases, the haematomas were revealed by blood-stained aspirates, a fall in haemoglobin level, and the appearance of radiological opacities. Haematoma occurrence in the area of a bulla which recently has rapidly increased in size, suggests that the haematoma is due to the rupture of stretched vessels embedded in the wall of the bulla.