Bronchiectasis combined with primary hyperfibrinolysis: report of two cases.
- Author:
Dan WEI
1
;
Guohua HUANG
;
Jin SU
;
Yuanxiong CHENG
Author Information
1. Department of Respiratory Diseases, Southern Medical University, Guangzhou, China. 77weidan@163.com
- Publication Type:Case Reports
- MeSH:
Aged;
Bronchiectasis;
complications;
Hemorrhagic Disorders;
complications;
Humans;
Male
- From:
Journal of Southern Medical University
2012;32(10):1528-1529
- CountryChina
- Language:Chinese
-
Abstract:
T Hemoptysis is a common complication of bronchiectasis, but concurrent primary hyperfibrinolysis is very rare and easily gives rise to missed diagnosis. Patients with bronchiectasis complicated by primary hyperfibrinolysis do not respond to regular treatment for hemoptysis, which may potential cause fatal consequences. We report two cases of bronchiectasis combined with primary hyperfibrinolysis. Both of the patients had a history of bronchiectasis and were admitted for intermittent hemoptysis. Conventional treatment such as vasopressin failed to produce a favorable response. The eventual definite diagnosis of primary hyperfibrinolysis was established based on laboratory examinations. After diagnosis, the patients received fibrinogen and cryoglobulin to maintain a fibrinogen level over 1.5 g/L. Both of the patients subsequently showed improved conditions and were discharged.
