Palliation of massive hemoptysis from unresectable carcinoma of the lung.

Abstract:

:Unresectable carcinoma of the lung has traditionally been recognized as a contraindication to surgery in massive hemoptysis. A 60-year-old man had massive hemoptysis. At surgery an unresectable neoplastic mass invading the mediastinum and great vessels was encountered. Subtotal resection was accomplished using a stapler (Autostapler). The margins of the bronchial and vascular staples were of necessity placed directly through the tumor. The patient had an uneventful recovery and has survived six months without further hemoptysis. This method is presented as an effective strategic retreat under circumstances not permitting definitive therapy.

journal_name

Chest

journal_title

Chest

authors

Hargrove WC 3rd,Harken AH

doi

10.1378/chest.76.2.234

subject

Has Abstract

pub_date

1979-08-01 00:00:00

pages

234-5

issue

2

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(16)35203-5

journal_volume

76

pub_type

杂志文章

相关文献

CHEST文献大全
  • Nonfebrile mitral valve endocarditis due to Neisseria subflava.

    abstract::Native valve endocarditis normally presents with fever and only later in its course demonstrates dysfunction of the affected valve. We describe a case of endocarditis due to Neisseria subflava, a Gram-negative diplococcal saprophyte of the oral cavity, which was unsuspected clinically and found unexpectedly during a m...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.109.1.280

    authors: Amsel BJ,Moulijn AC

    更新日期:1996-01-01 00:00:00

  • CA-125 in Disease Progression and Treatment of Lymphangioleiomyomatosis.

    abstract:BACKGROUND:Lymphangioleiomyomatosis (LAM) is a destructive lung disease of women caused by proliferation of neoplastic-like LAM cells, with mutations in the TSC1/2 tumor suppressor genes. Based on case reports, levels of cancer antigen 125 (CA-125), an ovarian cancer biomarker, can be elevated in patients with LAM. We ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2017.05.018

    authors: Glasgow CG,Pacheco-Rodriguez G,Steagall WK,Haughey ME,Julien-Williams PA,Stylianou MP,Gochuico BR,Moss J

    更新日期:2018-02-01 00:00:00

  • Research bronchoscopies do not adversely affect HIV-infected individuals' future health-care decisions.

    abstract:STUDY OBJECTIVES:Asymptomatic HIV-infected individuals are increasingly recruited for studies involving invasive procedures such as bronchoscopy. We sought to determine the response to and outcome of a request for a research bronchoscopy in HIV-positive individuals with no respiratory disease, and whether this would ad...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.114.1.284

    authors: Lipman MC,Stobbs D,Madge S,Miller R,Johnson MA

    更新日期:1998-07-01 00:00:00

  • Medical personnel's knowledge of and ability to use inhaling devices. Metered-dose inhalers, spacing chambers, and breath-actuated dry powder inhalers.

    abstract:BACKGROUND:Current treatment strategies for asthma and chronic obstructive pulmonary disease (COPD) emphasize the inhalation route, yet patients often misuse metered-dose inhalers (MDI). To address this problem, patient education by medical personnel has been recommended and a variety of alternate inhaler devices have ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.105.1.111

    authors: Hanania NA,Wittman R,Kesten S,Chapman KR

    更新日期:1994-01-01 00:00:00

  • Long-term within-subject variability of inspiratory neural drive response to hypoxia.

    abstract:STUDY OBJECTIVE:We analyze the within-subject variation of mouth occlusion pressure (P0.1) response to progressive isocapnic hypoxic stimulation over long time periods in normal subjects. PATIENTS AND INTERVENTIONS:We studied 21 healthy subjects (14 male and 7 female; aged 40+/-12 yrs) (mean+/-SD). Lung volumes, basal...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.114.2.521

    authors: García-Río F,Pino-García JM,Racionero MA,Terreros-Caro JG,Gómez-Mendieta MA,Prados C,Villasante C

    更新日期:1998-08-01 00:00:00

  • Effect of dry warm air on respiratory water loss in children with exercise-induced asthma.

    abstract::The variation in respiratory water loss (RWL) over time, expressed as the mass of water vapor lost per liter (body temperature and pressure, saturated) of ventilation (MH2O), was investigated in two groups: (1) children with exercise-induced asthma; and (2) healthy children. Children were matched for age and sex and w...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.94.1.81

    authors: Tabka Z,Ben Jebria A,Vergeret J,Guenard H

    更新日期:1988-07-01 00:00:00

  • Use of ultrahigh frequency ventilation in patients with ARDS. A preliminary report.

    abstract:STUDY OBJECTIVE:Our objective was to compare the efficacy of ultrahigh frequency ventilation (UHFV) (frequencies > 3 Hz) with respect to oxygenation, airway pressures, and hemodynamic parameters in patients with adult respiratory distress syndrome (ARDS) who were not responding to conventional ventilation. DESIGN:We u...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1378/chest.103.5.1413

    authors: Gluck E,Heard S,Patel C,Mohr J,Calkins J,Fink MP,Landow L

    更新日期:1993-05-01 00:00:00

  • Is an abbreviated bronchial challenge with histamine valid?

    abstract::Investigators have validated an abbreviated protocol for testing nonspecific bronchial reactivity with methacholine. We performed a similar validation study with histamine, another bronchoprovocative agent known to induce airflow obstruction. Histamine is pharmacologically distinct from methacholine and, under some ci...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.101.1.141

    authors: Schmidt LE,Thorne PS,Watt JL,Schwartz DA

    更新日期:1992-01-01 00:00:00

  • Reappraisal of empyema thoracis. Surgical intervention when the duration of illness is unknown.

    abstract::The timing of surgical treatment of empyema remains controversial. Traditionally, thoracotomy is performed either within three weeks of diagnosis or delayed until presumed pleurodesis occurs. Often, these patients are moribund and the duration of illness impossible to determine. We report our surgical results in seven...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.90.4.511

    authors: Hoover EL,Hsu HK,Ross MJ,Gross AM,Webb H,Ketosugbo A,Finch P

    更新日期:1986-10-01 00:00:00

  • Asbestos-related rounded atelectasis. Radiologic and mineralogic data in 23 cases.

    abstract::A retrospective study was conducted in 23 subjects with previous occupational exposure to asbestos and exhibiting rounded atelectasis (RA) on high-resolution computed tomography scan (HRCT scan) to evaluate the retention of asbestos bodies (ABs) using light microscopy in the bronchoalveolar lavage (BAL) fluid or lung ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.107.2.477

    authors: Voisin C,Fisekci F,Voisin-Saltiel S,Ameille J,Brochard P,Pairon JC

    更新日期:1995-02-01 00:00:00

  • Ostium primum defect in the adult: postoperative follow-up studies.

    abstract::Twelve adult patients with ostium primum atrial septal defects (incomplete endocardial cushion defect) who underwent surgical repair of their lesions were evaluated in the late postoperative period. All had closure of the low-lying atrial septal defect, with suturing of the mitral valve cleft in 11 patients. Although ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.67.2.185

    authors: Goodman DJ,Harrison DC,Schroeder JS

    更新日期:1975-02-01 00:00:00

  • An unusual presentation of metastatic colon cancer to the lung.

    abstract::A 75-year-old man with a history of resected colon carcinoma presented to his primary care physician because of a new onset of coughing. The patient had expectorated a small piece of solid tissue; pathologic examination of the tissue found it to be consistent with metastatic colon adenocarcinoma. After further work-up...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.113.1.244

    authors: Zias EA,Owen RP,Borczuk A,Reichel J,Frater RW

    更新日期:1998-01-01 00:00:00

  • Bronchoalveolar lavage findings in patients seropositive for the human immunodeficiency virus (HIV).

    abstract::To evaluate bronchoalveolar lavage (BAL) findings in patients infected with human immunodeficiency virus (HIV), 39 patients seropositive for the virus but with no history of opportunistic infection were studied. Opportunistic organisms such as Pneumocystis carinii were not found in any of the 35 BAL fluids sent for sp...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.97.5.1066

    authors: Johnson JE,Anders GT,Hawkes CE,LaHatte LJ,Blanton HM

    更新日期:1990-05-01 00:00:00

  • Pancreaticopleural fistula: diagnosis with magnetic resonance pancreatography.

    abstract::Pancreaticopleural fistula secondary to chronic pancreatitis is a rare cause of recurrent pleural effusion. The demonstration of the fistula with endoscopic retrograde pancreatography and CT is invasive or limited. We report in two patients the use of magnetic resonance pancreatography as a noninvasive alternative to ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.117.3.912

    authors: Materne R,Vranckx P,Pauls C,Coche EE,Deprez P,Van Beers BE

    更新日期:2000-03-01 00:00:00

  • Successful surgical treatment of prosthetic valve endocarditis and aortic root abscesses.

    abstract::Repeated aortic prosthetic valve endocarditis and aortic root abscesses were successfully treated by implantation of a valved conduit into the ascending aorta and by placement of saphenous vein grafts to the aorta distal to the conduit and to the right and left anterior descending coronary arteries. This procedure pro...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.85.6.832

    authors: Abe T,Sugiki K,Komatsu S

    更新日期:1984-06-01 00:00:00

  • Expression of alveolar macrophage adhesion molecules in pulmonary sarcoidosis.

    abstract::Beta-2-integrins belong to a family of leukocyte surface glycoproteins that are essential for immune functions of bronchoalveolar cells. The expression of three alpha chains designed as CD11a, CD11b, CD11c, a common beta chain CD18, and of a ligand for several integrins CD54 (ICAM-1) was studied on alveolar macrophage...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.102.3.882

    authors: Striz I,Wang YM,Kalaycioglu O,Costabel U

    更新日期:1992-09-01 00:00:00

  • Transition from exercise to rest. Ventilatory and arterial blood gas responses.

    abstract::The mechanisms leading to rapid changes in arterial blood gas values soon after exercise ends have not been well established. To further study these phenomena, we exercised seven normal male volunteers to exhaustion on a cycle ergometer with a 25-W/min ramped protocol measuring arterial blood gas values, and breath-by...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.99.5.1145

    authors: O'Neill AV,Johnson DC

    更新日期:1991-05-01 00:00:00

  • Catamenial pneumothorax: a prospective study.

    abstract:OBJECTIVES:To evaluate the incidence of catamenial pneumothorax (CP) among women who have been referred for the surgical treatment of spontaneous pneumothorax (SP) and to study its pathogenic mechanisms. DESIGN:A prospective study of women of reproductive age who have been referred to our center for the surgical treat...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.124.3.1004

    authors: Alifano M,Roth T,Broët SC,Schussler O,Magdeleinat P,Regnard JF

    更新日期:2003-09-01 00:00:00

  • PEEP increases non-pulmonary microvascular fluid flux in healthy and septic sheep.

    abstract::The potential for significant interaction between PEEP and the peripheral microcirculations is not as well appreciated as are its central circulatory effects. Therefore, we studied the effects of PEEP, 15 mm Hg, on microvascular fluid flux in the hindlimb of ten mature sheep. Changes in prefemoral lymph flow (QL) and ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.96.5.1142

    authors: Hersch M,Bersten A,Robertson S,Rutledge F,Sibbald WJ

    更新日期:1989-11-01 00:00:00

  • APACHE II in surgical lung carcinoma patients.

    abstract::Recent extensive development of thoracic surgery meets the need to treat elderly patients with a wide variety of pathophysiologic alterations, even if they require continuous medical assistance and high technologic support. Methods in providing such care are still limited by imprecision in evaluation of results; in th...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.98.3.627

    authors: Giangiuliani G,Gui D,Bonatti P,Tozzi P,Caracciolo F

    更新日期:1990-09-01 00:00:00

  • Surgical treatment of malignant pleural mesothelioma: a review.

    abstract::Despite many years of clinical research, there is still no effective therapy for malignant pleural mesothelioma (MPM). Untreated, the prognosis is poor, with a median survival of < 1 year. Single-agent or combination chemotherapy as well as radiotherapy have not shown persistent improvements in response or survival. I...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.123.2.551

    authors: van Ruth S,Baas P,Zoetmulder FA

    更新日期:2003-02-01 00:00:00

  • Exhaled nitric oxide in pulmonary diseases: a comprehensive review.

    abstract::The upregulation of nitric oxide (NO) by inflammatory cytokines and mediators in central and peripheral airway sites can be monitored easily in exhaled air. It is now possible to estimate the predominant site of increased fraction of exhaled NO (FeNO) and its potential pathologic and physiologic role in various pulmon...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.09-2090

    authors: Barnes PJ,Dweik RA,Gelb AF,Gibson PG,George SC,Grasemann H,Pavord ID,Ratjen F,Silkoff PE,Taylor DR,Zamel N

    更新日期:2010-09-01 00:00:00

  • The effect of regular salbutamol on lung function and bronchial hyperresponsiveness in normal subjects and nonasthmatic atopic subjects with allergic rhinitis.

    abstract:BACKGROUND:The effects of regular inhaled beta-agonist treatment on lung function remain a controversial issue. In an earlier study, the administration of regular inhaled salbutamol resulted in negative changes in FEV1 not only in asthmatics, but also in nonasthmatic atopic subjects. OBJECTIVE:The aim of this study wa...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.112.1.12

    authors: Boothman-Burrell D,Jones D,Herbison GP,Taylor DR

    更新日期:1997-07-01 00:00:00

  • Elevated histamine and tryptase levels in smokers' bronchoalveolar lavage fluid. Do lung mast cells contribute to smokers' emphysema?

    abstract::Human lung mast cells have been reported recently to contain small amounts of the elastolytic protease present in the neutrophil and implicated in the pathogenesis of alveolar wall destruction in emphysema. Since mast cells are numerous within alveolar walls, release of inflammatory mediators (and possibly elastase) b...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.94.1.119

    authors: Kalenderian R,Raju L,Roth W,Schwartz LB,Gruber B,Janoff A

    更新日期:1988-07-01 00:00:00

  • Follow-up and surveillance of the lung cancer patient following curative intent therapy: ACCP evidence-based clinical practice guideline (2nd edition).

    abstract:BACKGROUND:To develop an evidence-based approach to follow-up of patients after curative intent therapy for lung cancer. METHODS:Guidelines on lung cancer diagnosis and management published between 2002 and December 2005 were identified by a systematic review of the literature, and supplemental material appropriate to...

    journal_title:Chest

    pub_type: 杂志文章,实务指引

    doi:10.1378/chest.07-1390

    authors: Rubins J,Unger M,Colice GL,American College of Chest Physicians.

    更新日期:2007-09-01 00:00:00

  • Chronic persistent cough. Experience in diagnosis and outcome using an anatomic diagnostic protocol.

    abstract::Irwin and co-workers have designed an anatomic approach to the diagnosis and treatment of cough. In their hands, diagnosis was consistently determined and treatment successful almost without exception, if sustained. We reviewed the results of a similar approach in 139 consecutive and unselected patients referred to pu...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.95.4.723

    authors: Poe RH,Harder RV,Israel RH,Kallay MC

    更新日期:1989-04-01 00:00:00

  • The components of a respiratory rehabilitation program: a systematic overview.

    abstract:OBJECTIVE:To determine the contribution of the various components of a rehabilitation program to the improvement of exercise capacity and health-related quality of life (HRQL) in patients with COPD. DATA SOURCES:MEDLINE (1966 to April 1996) was searched. Abstracts presented at international conferences were also hand ...

    journal_title:Chest

    pub_type: 杂志文章,meta分析

    doi:10.1378/chest.111.4.1077

    authors: Lacasse Y,Guyatt GH,Goldstein RS

    更新日期:1997-04-01 00:00:00

  • A 76-Year-Old Woman With Incidental Right Middle Lobe Atelectasis.

    abstract:CASE PRESENTATION:A 76-year-old nonsmoking woman visiting from Honduras for the last 6 months with no known medical history originally presented to the ED complaining of abdominal pain. While in the ED, an incidental right middle lobe collapse was found on CT abdomen scan. Review of systems was positive for a chronic p...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1016/j.chest.2018.10.030

    authors: Henson T,Matayeva E,Chua W,Iqbal J

    更新日期:2019-05-01 00:00:00

  • Oral Low-dose Theophylline on Top of Inhaled Fluticasone-Salmeterol Does Not Reduce Exacerbations in Patients With Severe COPD: A Pilot Clinical Trial.

    abstract:BACKGROUND:COPD is characterized by chronic inflammation. In vitro and ex vivo observations suggest that this inflammatory response is partially resistant to the effect of corticosteroids and that low-dose theophylline can restore this response via enhancement of histone deacetylase (HDAC) activity. Whether this occurs...

    journal_title:Chest

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.chest.2016.04.011

    authors: Cosío BG,Shafiek H,Iglesias A,Yanez A,Córdova R,Palou A,Rodriguez-Roisin R,Peces-Barba G,Pascual S,Gea J,Sibila O,Barnes PJ,Agusti A

    更新日期:2016-07-01 00:00:00

  • Native matrix metalloproteinase characteristics may influence early stenosis of venous versus arterial coronary artery bypass grafting conduits.

    abstract:PURPOSE:Stenosis and occlusion rates of internal mammary artery (IMA) and saphenous vein (SV) coronary artery bypass grafts (CABGs) are markedly different, which result from respective disparities in vascular remodeling. Matrix metalloproteinases (MMPs) and tissue inhibitors of metalloproteinases (TIMPs) regulate vascu...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.125.5.1853

    authors: Anstadt MP,Franga DL,Portik-Dobos V,Pennathur A,Bannan M,Mawulawde K,Ergul A

    更新日期:2004-05-01 00:00:00