Risk factors of massive hemoptysis in tuberculosis patients
10.3969/j.issn.1006-5725.2016.20.035
- VernacularTitle:肺结核大咯血患者临床危险因素分析
- Author:
Lijuan WU
;
Zhihui LIU
;
Duohua SU
;
Tianyi LI
;
Chunmei TANG
;
Guotian LIANG
;
Yanbin ZHANG
- Publication Type:Journal Article
- Keywords:
Tuberculosis;
Massive haemoptysis;
Risk factors
- From:
The Journal of Practical Medicine
2016;32(20):3409-3412
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors for patients with massive hemoptysis in tuberculosis and to provide a strategy for clinical treatment for tuberculosis massive hemoptysis (TMH). Methods Chi-square test and multivariate logistics analysis were applied to analyze the medical data of 241 cases of TMH. Results Chi-squared test showed that eleven factors were found to be significantly correlated with TMH. Longer disease course (≥3 months), lung lesions range ≥ 3 lung fields, pulmonary tuberculosis cavity, a higher smoking index (≥400 cigarettes per year) and clinical treatment were risk factors for TMH. Patients aged 45 years or older accompanied with bronchiectasia, pulmonary fungal infection, diabetes or hepatopathy had higher probabilities of developing massive hemoptysis. Multivariate analysis showed lung lesions range over 3 lung fields (OR = 2.447,P = 0.015), pulmonary tuberculosis cavity (OR = 2.486, P = 0.004), bronchial asthma (OR =3.192,P = 0.002), pulmonary fungal infection (OR = 3.896, P = 0.005) and hepatopathy (OR = 3.101, P =0.006) were final risk factors for TMH. Conclusion Multiple factors contributed to patients with massive hemoptysis in tuberculosis. Lung lesions range over 3 lung fields, pulmonary tuberculous cavities, bronchial asthma, lung fungal infection and hepatopathy might be the independent risk factors for TMH.
