Pulmonary hemorrhage is a potentially life-threatening condition characterized by bleeding into the lungs, which may present with hemoptysis, respiratory distress, hypoxemia, and rapid clinical deterioration. Prompt recognition and appropriate pulmonary hemorrhage treatment are essential to stabilize patients and prevent fatal outcomes. Initial management focuses on airway protection, oxygen supplementation, and stabilization of hemodynamics, often requiring intensive care monitoring. Identifying the underlying cause—whether autoimmune disease, infection, vasculitis, trauma, coagulopathy, or malignancy—is critical in guiding targeted therapy. Pulmonary hemorrhage treatment may involve immunosuppressive agents in cases of autoimmune-related bleeding, antibiotics for infectious etiologies, or correction of coagulation abnormalities with blood products. Bronchoscopic interventions can help localize bleeding, remove clots, and apply topical hemostatic agents, while in severe or uncontrolled cases, interventional radiology procedures such as bronchial artery embolization may be employed. Supportive measures, including mechanical ventilation with lung-protective strategies, fluid balance optimization, and transfusion support, play an equally important role. Multidisciplinary collaboration among pulmonologists, critical care physicians, hematologists, and radiologists ensures a comprehensive approach to both acute management and long-term prevention. Advances in imaging and interventional techniques have improved diagnostic accuracy and therapeutic options, reducing mortality rates in affected patients. By integrating rapid stabilization, targeted therapies, and ongoing preventive strategies, pulmonary hemorrhage treatment aims to restore respiratory stability, minimize recurrence, and improve survival outcomes in patients with this complex pulmonary emergency.
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