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June 1968


Author Affiliations

Brooklyn, NY

From the Department of Medicine, Downstate Medical Center, State University-Kings County Hospital Center, Brooklyn, NY.

Arch Intern Med. 1968;121(6):495-498. doi:10.1001/archinte.1968.03640060009002

Sixty-seven patients with a pulmonary hemorrhage of more than 600 ml within 48 hours were studied. Mortality was primarily related to the rate of bleeding and exceeded 75% when the patient bled more than 600 ml within 16 hours. Surgical intervention in patients bleeding at this rate was associated with a mortality of 23%. Age of patient and extent of underlying pulmonary disease did not influence survival. These results emphasize the dangers inherent in overreliance on conservative management. Early surgery whenever possible is advocated.