http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
만성 폐쇄성 폐질환 환자에 대한 Radioaerosol Lung Scan의 임상적 평가
권순석 ( Kwon Sun Seog ),유기동 ( Yu Gi Dong ),김영균 ( Kim Yeong Gyun ),김관형 ( Kim Gwan Hyeong ),한기돈 ( Han Gi Don ),문화식 ( Mun Hwa Sig ),송정섭 ( Song Jeong Seob ),박성학 ( Park Seong Hag ) 대한내과학회 1992 대한내과학회지 Vol.42 No.5
Background: In the management of chronic obstructive pulmonary disease, it is important to distinguish the two main types of this disorders, namely, the emphysematous and bronchitic. Patients with bronchitis respond much more favorably to medical treatment than do those with emphysema. With the advent of radioaerosol inhalation scan, it became apparent that this procedure might be helpful in identifying regions with obstructed airways in such patient. We studied to estimate the value of radioaerosol inhalation Scan in the classificaiton of patients with chronic obstructive pulmonary disease (COPD). Method: We observed the patterns of ventilation distribution by using ^(99m)Tc-phytate radioaerosol scan and relationships to pulmonary function test, arterial blood gas analysis in 22 emphysematous patients and 13 chronic bronchitic patients. Results: The deposition of radioaerosol inhalation Scan disclosed a dendritic appearance in bronchitic ptients, but in emphysematous patients disclosed a random patchy appearance. Central deposition and peripheral uneven distribution of radioaerosol inhalation Scan were prominent in emphysematous patients than bronchitic patients (p<0.01). Peripheral uneven distribution of radioaerosol inhalation scan in emphysematous patients were correlated with FVC and FEV, (r=.0.651, r=-0.781, p<0.01). Conclusion: Our data suggest that radioaerosol inhalation Scan may be useful tests for the diagnosis and the classification of chronic obstructive pulmonary disease.
건강한 약년 (若年) 흡연자에서의 폐기능검사와 말초혈액 호중구의 Chemiluminescence
송정섭 ( Song Jeong Seob ),권순석 ( Kwon Sun Seog ),김영균 ( Kim Yeong Gyun ),김관형 ( Kim Gwan Hyeong ),한기돈 ( Han Gi Don ),문화식 ( Mun Hwa Sig ),박성학 ( Park Seong Hag ) 대한내과학회 1993 대한내과학회지 Vol.44 No.2
Background : Cigarette smoking is firmly established as the primary environmental risk factor associated with chronic obstructive pulmonary disease (COPD) including pulmonary emphysema and chronic bronchitis. The development of COPD is known to be preceeded by small airway obstructive discase. Cigarette smoking induces lung phagocyte (macrophage and neutrophils) recruitment, and that neutrophil and macrophage have increased oxidative function in cigarette smokers. So we have investigated the possible relationship between neutrophil activation and spirometric parameters in asymptomatic young smokers. Methods : Oxidant generation by circulating neutrophils were measured by luminol enhanced chemilumines-cence(LECL) and lung function test were performed at the same day in 24 asymptomatic young smokers and 24 non-smokers. Results : 1) LECL of the peripheral blood neutrophils were significantly increased in smokers during both in non-stimulated cases and in stimulated cases with phorbol myristate acetate (PMA) than in non-smokers. 2) In pulmonary function test. Vmax_(75)/FVC was significantly lower and FVC was higher in smokers than in non-smokers. 3) In 4 smokers of those whose more than three spirometric parameters were below 85% predicted, there was a inverse relationship between PMA-activated neutrophil LECL and FEF_(25∼75%), Vmx 50/FVC, Vmax 75/FVC. Conclusion : Our findings indicate that cigarette smoking can increase the reactive oxidants from both non-stimulated and PMA stimulated peripheral blood neutrophils and this increased LECL appears to be associated with amall airway obstruction in some cases.