기관지 탄분 섬유화증에서 동반된 기관지 협착에 따른 환기역학
Ventilatory Dynamics according to Bronchial Stenosis in Bronchial Anthracofibrosis
김연재 (대구파티마병원)
김건현 (대구파티마병원)
김민선 (대구파티마병원)
손혁수 (대구파티마병원)
김준철 (대구파티마병원)
류현욱 (대구파티마병원)
이수옥 (대구파티마병원)
정치영 (대구파티마병원)
이병기 (대구파티마병원)
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초록
연구배경 : 기관지 탄분 섬유화증은 주로 만성기관지염, 만성폐쇄성폐질환, 또는 천식 등과 같은 만성 기도 질환의 형태로 발현되며, 질환의 경과 중에 폐렴, 폐결핵과 같은 실질성 병변들이 동반될 수 있다. 저자들은 기관지 탄분 섬유화증에서 환기장애의 병형별 빈도 및 동반된 기관지 협착에 따른 기도의 환기기능 및 역학을 알아보고자 하였다.방 법 : 기관지내시경검사 상 기관지 탄분 섬유화증으로 진단받은 환자 가운데 폐기능 검사를 실시한 113례의 환자를 대상으로 폐기능 검사에서 구한 여러 계측치들과 협착을 보인 기관지의 수와의 상관관계를 구하였다.
- keywords
- Bronchial anthracofibrosis, Ventilatory dynamics, Obstructive, Airway resistance, Bronchial anthracofibrosis, Ventilatory dynamics, Obstructive, Airway resistance
Abstract
Background : Bronchial anthracofibrosis usually manifest as a form of obstructive airway disease, and can be accompanied by parenchymal diseases such as pneumonia, and pulmonary tuberculosis. This study investigated the ventilatory dynamics according to the severity of bronchial stenosis in patients with bronchial anthracofibrosis. Method : One hundred and thirteen patients with bronchial anthracofibrosis that was confirmed by bronchoscopy and who had undergone a pulmonary function test were enrolled in this study group. The correlation coefficients between the pulmonary functional parameters and the number of lobes with bronchial stenosis were investigated. Results : The incidence of ventilatory dysfunction was 56(49.6%) for obstructive, 8(7.1%) for restrictive, 2(1.8%) for mixed, and 47(41.6%) for a normal pattern. The FEV1/FVC, FEF25∼75%, FEF25%, FEF50%, FEF75%, and PEF showed a significant negative correlation (p<0.05) and the Raw had a significant positive correlation with the number of lobes with bronchial stenosis(p<0.001). Conclusion : These findings suggest that the most common abnormality of the ventilatory function in bronchial anthracofibrosis is an obstructive pattern with a small airway dysfunction according to the severity of bronchial stenosis. (Tuberc Respir Dis 2005; 59: 368-373)
- keywords
- Bronchial anthracofibrosis, Ventilatory dynamics, Obstructive, Airway resistance, Bronchial anthracofibrosis, Ventilatory dynamics, Obstructive, Airway resistance
참고문헌
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