Journal of Pulmonology and Clinical Research

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Journal of Pulmonology and Clinical Research 44 7897 074717

Pulmonary Hemorrhage:

Pulmonary hemorrhage (P-Hem) is an acute, catastrophic event characterized by discharge of bloody fluid from the upper tract or the catheter . Then the  incidence of P-Hem is 1 in 1,000 live births. P-Hem is present in 7 to 10% of the neonatal autopsies, but up to 80% of autopsies of very preterm infants. When evident clinically, P-Hem is usually massive, is associated with bleeding in othersites, involves more than one third of the lungs, and has a high mortality rate. Pulmonary hemorrhage (or pulmonary haemorrhage) is acute bleeding from the lung, from the upper tract and therefore the trachea, and also the alveoli. When evident clinically, the condition is usually massive. The onset of pulmonary hemorrhage is characterized by cough productive of blood (hemoptysis) and worsening of oxygenation resulting in cyanosis.Treatment should be immediate and will include tracheal suction, oxygen, positive pressure ventilation, and correction of underlying abnormalities (e.g. disorders of coagulation). A blood transfusion may be necessary. Infant prematurity is that the factor most ordinarily related to pulmonary hemorrhage. Other associated factors are people who predisposed to perinatal asphyxia or bleeding disorders, including toxemia of pregnancy, maternal cocaine use, anemia , breech birth , hypothermia, infection, Infant respiratory distress syndrome (IRDS), administration of exogenous surfactants (in some studies) and extracorporeal membrane oxygenation.

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