| Ventilatory Function and Diffusion Capacity of the Lung in Patients with Far Advanced Pulmonary Tuberculosis |
|
Ho Kyun Kim, Jang Geun Park |
|
Departmentof Internal Medicine, College of Medicine, Pusan National University, Pusan, Korea |
| 중증 폐결핵 환자의 폐환기기능 및 폐확산능에 관한 고찰 |
|
김호균, 박장근 |
|
|
|
|
| Abstract |
|
The authors studied the ventilatory function and diffusion capacity of the lung in patients with far advanced pulmonary tuberculosis from January 1985 to August 1986. The studied subjects were consisted of 80 patients with far advanced pulmonary tuberculosis and comparable with 120 nonsmoking healthy persons as a control.
The results obtained were summerized as follows:
1) The parameters derived from forced expiratory volume curve in patients with far advanced pulmonary tuberculosis, FVÇ, FEV1, FEV1, %, FEF25-75% and FEF 75-85% , were significantly lower than those of normal control (p < 0.05).
2) The parameters derived from maximal expiratory flow volume curve, PEFR, Vmax 25%, Vmax 75%, were significantly lower than those of normal control(p < 0.05).
3) The parameters derived from forced expiratory volume curve and maximal expiratory flow volume curve in patients with far advanced pulmonary tuberculosis trended to decrease as duration of illness was increased.
4) The parameters of volume-adjusted forced expiratory volume curve and maximal expiratory flow volume curve in patients with far advanced pulmonary tuberculosis trended to decrease as duration of illness was increased.
5) DLco and DLco/ V A in patients with far advanced pulmonary tuberculosis were significantly lower than those of normal control (p < 0.05).
6) In patients with far advanced pulmonary tuberculosis, the lung diffusion capacity was directly related to FVC and FEV1 (r=0.578, p < 0.001 and r=0.457, p < 0.05).
7) The Pa02 and arterial 02 saturation in patients with far advanced pulmonary tuberculosis were significantly decreased than those of normal control(p < 0.001 and p < 0.01)but PaC02 in patients with far advanced pulmonary tuberculosis was not different as compared with control. |
|
PDF Links
Full text via DOI
Download Citation
