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(Chest. 1973;63:718-721.)
© 1973 American College of Chest Physicians

Pulmonary Hemorrhage Syndrome as a Manifestation of Disseminated Intravascular Coagulation: Analysis of Ten Cases

Stanley J. Robboy M.D.1; John D. Minna M.D.2; Robert W. Colman M.D.3; Norman I. Birndorf M.D.4; and Harry Lopas M.D.5

1 Assistant Professor of Pathology, Harvard Medical School, Boston
2 Chief, Section of Somatic Cell Genetics Department of Biochemical Genetics, National Lung and Heart Institute, National Institutes of Health, Bethesda
3 Assistant Professor of Medicine, Harvard Medical School, Boston
4 Instructor in Medicine, Universit of Oregon Medical School; Kaiser Foundation Hospital Portland, Oregon
5 Assistant Professor, Northwestern University Medical School, Chicago

Pulmonary hemorrhage occurred in seven patients with disseminated intravascular coagulation (DIC) and was produced in three monkeys when an experimental model for DIC was used. The syndrome was either the chief complaint for which patients entered the hospital, appeared with other coexisting complications of DIC, or occurred just prior to death. Because the onset of dyspnea, tachypnea, hemoptysis, rales, and a diffuse infiltrate on chest x-ray film were usually interpreted as infectious processes, therapy for DIC was withheld and the patients' conditions worsened. Pulmonary hemorrhage was the immediate cause of death in almost all patients. It is suggested that the pulmonary hemorrhage syndrome has features in common with other respiratory distress syndromes such as hyaline membrane disease (HMD), pulmonary hypoperfusion, and shock lung.




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N. L. Bailiff and C. R. Norris
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J. Am. Anim. Hosp. Assoc., March 1, 2002; 38(2): 125 - 133.
[Abstract] [Full Text] [PDF]


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