[Acute respiratory insufficiency caused by diffuse pulmonary hemorrhage].
Two cases of adult respiratory distress syndrome due to diffuse pulmonary haemorrhage are reported. The first patient was treated with azathioprine, prednisolone, cyclosporine and ranitidine for haemorrhagic rectocolitis; the second has untreated primary biliary cirrhosis. Haemoptysis only occurred in the latter. Both had severe isolated hypoxaemia. Chest X-rays revealed bilateral alveolar infiltrates. Bronchoscopies showed a diffusely bleeding bronchial tree. Both patients recovered after having been mechanically ventilated with positive end-expiratory pressure for six and eight days respectively. The cause of the diffuse pulmonary haemorrhage was, in the first case, severe thrombocytopaenia (17,000 G.1-1) of central origin, and, in the other patient, an unspecified vasculitis. Diffuse pulmonary haemorrhage should be added to the list of possible causes of the adult respiratory distress syndrome.
Gauthier
J
J
Département d'Anesthésie-Réanimation, Hôtel-Dieu, Lyon.
Chassard
D
D
Gelas
P
P
Guiraud
M
M
Bouletreau
P
P
D000328:Adult; D005260:Female; D006470:Hemorrhage / Q000150:complications* / Q000209:etiology; D006801:Humans; D016867:Immunocompromised Host; D008171:Lung Diseases / Q000150:complications* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D012128:Respiratory Distress Syndrome / Q000209:etiology; D012131:Respiratory Insufficiency / Q000209:etiology*; D013921:Thrombocytopenia / Q000150:complications; D014657:Vasculitis / Q000150:complications
Insuffisance respiratoire aiguë par hémorragie pulmonaire diffuse.