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기관지 확장제 흡입시 Spacer 의 효과에 관한 연구
김동순,김남호,최재성,주순기 대한내과학회 1986 대한내과학회지 Vol.30 No.5
The effect of addition of 3 different types of spacers( I=100 cc tube aerochamber, Ⅱ: 750 cc cone-shaped spacer, Ⅲ: InspirEase) to a metered dose inhaler(MDI) was studied on 20 stable asthmatic patients, who could use MDI properly. After the inhalation of albuterol by MDI, FVC, FEV₁,Vmax. 50%, and Vmax. 7gy showed a significant increase with dose-response relationship in all patients but we could not find any change in the cumulative airway response when the spacers were aded to MDI. The side effects such as tachycardia and muscle tremor were not influenced by the addition of spacers. Also the types of spacers did not make any difference in the effect of bronchodilator aerosol.
기관지 유발검사로 확인한 Thermoactinomyces vulgaris 에 의한 과민성 폐장염 1 예
김동순,김남호,최재성,이정형,이윤우,주순기 대한내과학회 1987 대한내과학회지 Vol.33 No.3
The patient was a 49-year-old housewife presented with one month history of fever, cough and dyspnea. On auscultation crackles were heard on both lower lung field with diffuse microndular infiltration on chest X-ray. Pulmonary function test revealed moderate degree of restrictive defect with low DLco. Patient was improved rapidly after the anti-tuberculous medication under the impression of milary tuberculosis. But symptoms recurred soon after the discharge only to subside after the re-admission, The precipitin antibodies against Cryptostroma corticale and Trichoderma viride were found at the immunodiffusion test, but bronchial provocation test was negative for Trichoderma viride. Inhalation challenge with Thermoactinomyces vulgaris resulted in typical symptoms, signs and changes in lung function. Patient became symptom free after moving the house. This is the first case of hypersensitivity pneumonitis induced by Thermoactinomyces vulgaris proven by the bronchial provocation test in Korea.