[Indication for emergency pulmonary resection in patients with massive hemoptysis]

Emergency pulmonary resection was done in 24 patients with massive hemoptysis from January 1983 to December 1992. The curative, morbidity and mortality rates were 95.8%, 16.6% and zero respectively. Above mentioned result was better than that of the author's report in 1986. It was shown that emergency lung resection should be active when the drug therapy failed, the site of hemoptysis was clear, the lung lesion was localized and the general condition and cardiopulmonary function was good, especially the cases had a history of suffocation, hypotension or shock. In spite of the present result of emergency lung resection for massive hemoptysis tends to be better, the operative complication is still higher than routine pulmonary resection. Therefore, the operative indication should be strictly handled. For cases whose surgical indication is inadequate, bronchial arterial embolization is an effective and relative safe method.