[The problems of clinico-morphological diagnosis in a case of fatal hemoptysis]

C Marica1, P Galbenu

  • 1Clinica de Ftiziologie, I.M.F. Bucureşti.

Revista De Igiena, Medicina Muncii, Medicina Sociala, Bacteriologie, Virusologie, Parazitologie, Epidemiologie, Pneumoftiziologie. Pneumoftiziologie
|April 1, 1990
PubMed

Insights

Pulmonary function tests in children with bronchial asthma show significant variability, especially for airway resistance (Raw) and maximum expiratory flows (MEF50). The vital capacity/maximum expiratory volume per second ratio offers limited insight into obstructive syndrome severity.

Area of Science:

  • Pediatric Pulmonology
  • Respiratory Medicine
  • Clinical Physiology

Background:

  • Bronchial asthma is a chronic respiratory condition affecting children, characterized by airway inflammation and hyperresponsiveness.
  • Accurate assessment of pulmonary function is crucial for monitoring asthma severity and guiding treatment in pediatric patients.
  • Longitudinal studies evaluating the variability of pulmonary function parameters in children with asthma are essential for understanding disease dynamics.

Observation:

  • This study followed 28 children (6-18 years) with bronchial asthma over 3 months to 5 years, assessing pulmonary function during asymptomatic, manifest, and crisis phases.
  • Functional pulmonary investigations included spirometry (VC, MEVS, VC/MEVS ratio), plethysmography (VGT, Raw), and MEF50 measurements.
  • Data were analyzed for average values, standard deviation, and variation coefficients across different clinical states.

Findings:

  • Pulmonary function parameters in children with bronchial asthma exhibited broad variations (2.9%-11.5%) during repeated examinations.
  • Airway resistance (Raw) showed the widest variation, followed by maximum expiratory flows (MEF50).
  • The vital capacity/maximum expiratory volume per second (VC/MEVS) ratio demonstrated the least variation, suggesting limited utility in assessing obstructive syndrome severity.

Implications:

  • Understanding the variability of pulmonary function tests is vital for interpreting results in pediatric asthma management.
  • Airway resistance (Raw) and MEF50 are more sensitive indicators of dynamic changes in obstructive lung disease in children.
  • The limited information from the VC/MEVS ratio highlights the need for comprehensive pulmonary function assessment in pediatric asthma.

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