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find Author "张鸿玲" 2 results
  • Kartagener 综合征四例报告并文献复习

    目的探讨 Kartagener 综合征的临床特点,提高该病的诊治水平。方法回顾本院呼吸内科收治的 4 例 Kartagener 综合征患者的临床资料,综合复习相关文献后进行分析。结果4 例 Kartagener 综合征中,男 3 例,女 1 例,年龄 24~51 岁。1 例父母为表兄妹近亲结婚。患者均因咳嗽、咳痰,伴或不伴咯血痰、胸闷、气促、喘息、浮肿、发热等症状就诊。1 例在外院确诊 Kartagener 综合征、肺源性心脏病,余 3 例 CT 影像等检查提示存在内脏转位、支气管扩张、鼻窦炎三联征,入院后确诊 Kartagener 综合征。4 例均给抗感染、祛痰、分泌物引流治疗,合并肺源性心脏病者予以无创呼吸机辅助通气、抗心力衰竭等治疗后,病情缓解出院。复习国内外文献,咳嗽、咳痰、咯血、气促是 Kartagener 综合征就诊的主要症状;预防感染、及时控制感染是治疗 Kartagener 综合征的关键。随着对 Kartagener 综合征的基因遗传学研究的深入,有望寻找到有效的办法以早期诊断,有效治疗,甚至减少发病。结论Kartagener 综合征是一种以内脏转位、支气管扩张、鼻窦炎为表现的罕见的先天遗传性疾病。提高临床医生对该病的认识,早期诊断,综合治疗,有效控制慢性气道炎症,是控制疾病进展、改善预后的有效方法。

    Release date:2019-07-19 02:21 Export PDF Favorites Scan
  • Applicability test of the existing formula of normal predictive value of adult pulmonary diffusion capacity index in Kunming area

    ObjectiveTo verify the existing domestic and foreign formulas of normal predictive value indicator for adult pulmonary diffusion capacity’s applicability at current stage in Kunming.MethodsBased on the pulmonary diffusion capacity parameters determination of diffusion capacity for carbon monoxide of the lung (DLCO) collected from one-breath breathing test completed by 680 adults with healthy lung function and without any disease which may cause pulmonary diffusion dysfunctions in Kunming, the regression equation of adult DLCO normal predicted value in Kunming was initially established; the fitting degree of DLCO predicted value and measured value was verified; and the correlation between European adults (instrument-inherent ECCS93) and the normal predicted values of adult DLCO in Shanghai, Chongqing and Lhasa were calculated and contrasted.ResultsThe regression equation of adult DLCO normal predicted value in Kunming was initially established: for male, 0.483+0.063×height (cm)+0.041×weight (kg)–0.071×age (years); for female, 1.679+0.055×height (cm)+0.018×weight (kg)–0.060×age (years). The data collected from the one-breath breathing test were similar to the predicted values obtained from the normal adult male and female DLCO prediction formulas in Kunming, the difference was not statistically significant (tM=–0.167, tF=–0.436, both P>0.05), suggesting that the formula for predicting the value established in this study was valid and well fitted. The predicted value of adult DLCO in Kunming area was statistically significant compared with the adult DLCO estimates of European adults and Lhasa, Chongqing and Shanghai in China (FM=713.4, FF=1 442.2, both P<0.001). Lhasa had the highest value; Kunming was the second highest; instrument-inherent European area and Chongqing came to third and fourth; and Shanghai had the lowest predicated adult DLCO value (all P<0.001).ConclusionThe current predictive formulas for adult pulmonary diffusion capacity indicators in China and worldwide are not suitable for the populations in Kunming.

    Release date:2021-04-25 10:17 Export PDF Favorites Scan
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