[原著］慢性閉塞性肺疾患における選択的肺胞気管支造影と肺機能の比戟検討

概要

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Obstructive pulmonary disease includes many diseases, such as pulmonary emphysema (PE), chronic bronchitis (CB), diffuse panbronchiolitis (DPB), bronchial asthma (BA). Clinical diagnosis of each disease is difficult because symptoms are similar and may combine other obstructive pulmonary disease. Selective alveolar-bronchography (SAB) is the effective diagnostic procedure for obstructive pulmonary disease, since it reveals structure of the bronchus and the alveolar wall. We performed SAB and pulmonary function test in 56 cases which showed the values less than 70% in Gaensler's 1 second rate (FEV_1.0/FVC). SAB diagnosis was divided into 8 groups (CB, Panacinal PE, Centrilobar PE, BA, DPB, CB+PE, BA+PE, minimal change) based on pulmonary function. Combined disease (CB+PE, BA+PE) was seen in 13 cases (23.2%). It was difficult to differentiate combined disease from simple disease by the pulmonaly function test.
琉球医学会,Ryukyu Medical Associationの論文