Pulmonary hemorrhage presents clinically as hemoptysis. It can be mild ,moderate or severe . Severe Pulmonary hemorrhage is massive Pulmonary hemorrhage
In adults ,massive pulmonary hemorrhage is defined as bleeding from the respiratory tract in amount of 200 ml or more in 24 hours or any amount of blood which compromises the hemodynamic balance of a patient
In children, massive pulmonary hemorrhage is defined as the amount of blood coming from the respiratory tract which is equal to or exceeds 8 ml/kg in 24 hours or any amount of bleeding which affects the hemodynamic status of a child
Fictitious pulmonary hemorrhage is called, when blood comes from the upper airways as Pulmonary hemorrhage by definition is bleeding from the lower airways
There are various causes of Pulmonary hemorrhage in children.
Bleeding after coughing is a frightening scene by parents and definitely the parents consult a doctor
Before diagnosing the bleeding point by Flexible Bronchoscopy, treatment should be started to stop the bleeding
In adults ,most commonly Tranexamic acid is given intravenously to control the bleeding
According to a study ,published in LUNG INDIA,January-February,volume 43,issue 1, an official journal of Indian Chest Society,inhalationa Tranexamic acid is equally effective in adults
It needs a randomized control trial in children before it can be used in children to treat the condition
For more knowledge -join Fellowship program in Pediatric Pulmonology with Bronchoscopy under Respiratory Foundation of India
WhatsApp to join the course-9899186848, 9873446805, For insight ,visit website: https://respifoundation.com
