在患者中存在可变的额外胸部空气流限制,这些患者的甲胆挑战测试结果为负
Zane Z Elfessi1,2, Sarah Zavala1, Israel Rubinstein3,4,5
1Emergency Medicine, Jesse Brown VA Medical Center, Chicago, IL, 60612, USA.
概括
变异性胸外气流限制 (VEAL) 可能发生在患有负面甲胆挑战测试 (MCT) 的患者中. 这一发现表明,即使MCT结果正常,也应该考虑使用VEAL.
科学领域:
- 肺部病理学 肺部病理学
- 呼吸系统医学 呼吸系统医学
- 临床生理学 临床生理学
背景情况:
- 甲胆挑战测试 (MCT) 是一种用于喘的标准诊断工具.
- 可变胸外空气流限制 (VEAL) 是通过随着呼吸方向变化的空气流阻塞而表现出来的.
- 在MCT阴性患者中存在VEAL的存在需要进一步调查.
研究的目的:
- 为了确定VEAL是否存在于MCT阴性患者中.
- 为了确定患者表现出VEAL的特征,尽管负MCT.
主要方法:
- 对接受MCT的患者电子病历的回顾性审查.
- 对螺旋计流量-体积循环的分析以确定VEAL (FEF50/FIF50 > 1).
- 使用学生t测试进行统计分析,显著性设置为P < 0.05.
主要成果:
- 分析了127名肺功能测试正常且MCT阴性患者.
- 在13名MCT阴性患者 (10.2%) 中发现了VEAL.
- 这些患者主要是肥胖的,非吸烟的男性,症状暗示着喘或慢性咳.
结论:
- 可以观察到VEAL在一小部分MCT阴性患者中.
- 这一发现需要承认,并向转诊医生报告.
- 在这种情况下,VEAL的临床意义需要进一步评估.
相关概念视频
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K
Chronic Obstructive Pulmonary Disease-I: Introduction
2.8K
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
2.8K
Assessment of Airway, Skin Color, and Use of Accessory Muscles
1.0K
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
1.0K
Factors Affecting Pulmonary Ventilation
1.4K
Besides the pressure difference between the external environment and the lungs, the airflow rate and ease of pulmonary ventilation are also influenced by three other factors: surface tension of the fluid in the alveoli, compliance of the lungs, and airway resistance.
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...
1.4K
Respiratory System Abnormal Finding I: Inspection and Percussion
276
Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
276
Chronic Obstructive Pulmonary Disease
1.3K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
1.3K


