KẾT QUẢ ĐIỀU TRỊ CỦA PHẪU THUẬT HO RA MÁU Ở BỆNH NHÂN LAO PHỔI TẠI BỆNH VIỆN PHỔI TRUNG ƯƠNG

Abstract

Objective: To evaluate the initial treatment outcomes of surgery for hemoptysis in pulmonary tuberculosis patients at the National Lung Hospital. Subjects and Methods: The study involved 50 patients diagnosed with hemoptysis due to pulmonary tuberculosis who underwent surgery at the National Lung Hospital from July 2017 to June 2024. Results: The average age is 46.86 years, with the age group 41-60 being the largest (46%). Male patients predominated (74%). The proportion of patients treated with anti-tuberculosis drugs prior to surgery was 48% in the mild-to-moderate hemoptysis group and 72% in the severe hemoptysis group. Preoperative bronchial artery embolization was performed in 7 patients (28%) in the mild-to-moderate hemoptysis group and in 15 patients (60%) in the severe hemoptysis group. Lobectomy was the most common surgical procedure, performed on 31 patients (62%). Infection was the most frequent complication (12%). There were 5 patient deaths (10%). The overall complication rate was 16%. The success rate at the time of discharge was 90%, with 96% in the mild-to-moderate hemoptysis group and 84% in the severe hemoptysis group. Conclusion: Hemoptysis is a common medical emergency with various causes. In Vietnam, pulmonary tuberculosis remains the leading cause of hemoptysis. In addition to aggressive medical treatment, surgical intervention plays an increasingly important role in the management of hemoptysis. The surgical success rate for hemoptysis in pulmonary tuberculosis patients at discharge was 90%, with 96% in the mild-to-moderate hemoptysis group and 84% in the severe hemoptysis group