Hemodynamic and Radiologic Findings, Pulmonary Function Tests, Maximal Expiratory Flow Volume Loop, Arterial Blood Gases Parameters Inour Cases of Pneumocaniosis
Öz
Pneumoconioses are occupational diseases induced by inorganic dust inhalation. In these cases functional disorders may not be seen in eariy stage. However remerkable changes in pulmonary fonctions are seen when progressif massif fibrosis developed. Pulmonary hypertansion develops followed by right heart failure and hypertrophia related with chronic cor pulmonale.
We have evaluated hemodynamic and radiologic findings, pulmonary function test flow-volume loop analysis, arterial blood gases in neumoconiosis cases to obtain the degree of the prognosis and disability.
İn our cases hemodynamic findings were obtained by flotan microcateter which was based on Grandjean method. Pulmonary function tests by Godart Expirograph apparatus, Diffusing capacity by Single breath method, Maximal expiratory flow-volume loop parameters by pulmograph and pulmonary analysis computer, arterial blood gases analysis by ABL 330 were evaluated.
Our findings were FEVWFVC & ;65.3 ©, MMF 1.6 1t/sc, PO2 69.35 mmHg. 02 6 92.55, FEF 5053.1 ©, FEF 75 45 ©. Mean pulmonary artery pressure at rest was elevated above 18 mmHg in 65.55 © of our cases (72 cases). While the mean pulmonary artery pressure at rest was 20.2 mmHg for all of our cases after exercises this value was found to be 36.4 mmHg
We concluded that in order to obtain disability and observation of the prognosis in pneomoconiosis besides the whole other tests hemodynamic
findings and flow-volume loop parameters are extremely important.
Anahtar Kelimeler
Etik Beyan
-
Destekleyen Kurum
-
Proje Numarası
-
Teşekkür
-
Kaynakça
- 1.Cotes JE, Steel J : Sereening and examination procedures. Work related lunege “ diserders. Blackwell Scientific Publications. Oxford, London, Edinburg, Boston; Palo Alto, Melbourne Page 78-121, 1987.
- 2. Crofton J. Douglas A : Silicosis. Respiratory Disease. 2 nd. Blackwell Scientific Publicationcations. Oxford, London, Edinburg, Melbourne Page 519, 1975.
- 3. Enacar N, Karabıyıkoğlu G, Ekim N: Pnomokonyozlarda Pulmoner Hemodinamik araştırmalar ve efor testinin değeri, Tüberküloz Toraks 29 (1-4) : 104-108, 1981.
- 4. Hedenströn H, Malmber P : Optimal combinations of lung furotion testis in the decettion of various types of early lung disease, Eur J Respir Dis, 71, 278-275, 1987.
- 5. Hinsaw HC, Murray JF ; Clinic, laboratory and radiographiç sign sin silicosis. Disease of the chest. 4 nd. W.B. Saunders Company. Philadelphia, London, Toronto Page 718, 1980.
- 8. İssalbaçher KJ, Adams AD, Braunwald E, Petersdor RJ, Wilson JD : Pulmonary Function tests in silicosis. Harison's : Principles of internal Medicine, Nineth Edition. Mc Graw Hill Kogasuska. Tokyo, Aucland, Bogota, Guatemale, Sydney Page 1220, 1980.
- 7. Kilbum KH, Warshaw R : Pulmaonary function testing İor occupational epidemiology and disability. Wiison AF ; Pulmonary İunction testing indications im terpretertations, Grune Siraton. Harcourt Brace Jovancvich Publishers, Orlando Newyork, Sandiago Sydney Toronto Page 329, 1985.
- 8, Lapp NE, Morgon WKC : Respiratory disease in Coal Miners. Am. Rev. hespir. Dis. 113, 531-559, 1976.
- 9. Weil H : Pulmonary function testing industry stry. Journal of occupational Medicine Volum 15, No 9 Page 694, 1973.
- 10. ZenzC: Occupational Medicine. Principles and Pratical Applications. Batıgelli : Mc : Determination of fitnessto work. Year book Medical Publishars. 25 Bast Wacker Drive chicago. Page 127. 1915.
- 11. Ziskind M, Jonses AN, Hans R : Silicosis. Am Rev Respir Dis. ii3 Pafe 843, 1976.
Pnomokonyozlarda Hemodinamik, Radyolojik Bulgular, Solunum Fonksiyon Testeri, Akım-Volüm Eğrisi ve Arter Kan Gazlarının Değerlendirilmesi
Öz
Pnomokonyozlar inorganik tozların inhalasyonuyla olan çevre hastalıklarıdır. Erken evrelerde fonksiyonel bozukluklar olmayabilir.
Pulmoner fonksiyonlardaki belirgin değişmeler progressif massif fibrozis geliştiğinde görülür. Pulmoner hipertansiyon, sağ kalp yetmezliği ve hipertrofisi, kronik kor pulmonale zamanla olur.
Biz pnomokonyozlarda prognoz ve sakatlık derecesini saptamak için hemodinamik, radyolojik bulgular, akciğer fonksiyon testlerini akım-hacim halkasını arter kan gazlarını ve az bir vakada da diffüzyon kapasitesini araştırdık.
Hemodinamik bulguları Grandjean metoduna dayanan sağ kalp mikrokateteriyle, Solunum fonksiyon testlerini Godart Expirografıyia, Diffüzyon kapasitesini tek soluk metoduyla, akım-hacim halkası (maksimal ekspirasyon akım volüm) değerlerini Pulmograf ve Pulmoner Analysis kompütürde,
Arter kan gazları ARL 330 cihazında değerlendirildi.
FEVL/FVC & si © 85.3, MMF 1.67 1t/sn, PO2 69.35 mm Hg, 02 satürasyonu 92.5, FEFS50o X& si 2 53.1, FEF © 75 si 45di. Ort. PAB “4 65.5 inde (72 hastada) 18 mmHg üstündeydi. İst, Ort. PAB 20.2 mmHg iken egzersizden sonra değer 36.4 mmHg ye yükseldi. Biz pnomokonyozlarda diğer testler yanında hemodinamik bulguların ve akım-hacim halkasının prognoz ve sakatlık tayınında değerli olduğunu gözledik.
Anahtar Kelimeler
Proje Numarası
-
Kaynakça
- 1.Cotes JE, Steel J : Sereening and examination procedures. Work related lunege “ diserders. Blackwell Scientific Publications. Oxford, London, Edinburg, Boston; Palo Alto, Melbourne Page 78-121, 1987.
- 2. Crofton J. Douglas A : Silicosis. Respiratory Disease. 2 nd. Blackwell Scientific Publicationcations. Oxford, London, Edinburg, Melbourne Page 519, 1975.
- 3. Enacar N, Karabıyıkoğlu G, Ekim N: Pnomokonyozlarda Pulmoner Hemodinamik araştırmalar ve efor testinin değeri, Tüberküloz Toraks 29 (1-4) : 104-108, 1981.
- 4. Hedenströn H, Malmber P : Optimal combinations of lung furotion testis in the decettion of various types of early lung disease, Eur J Respir Dis, 71, 278-275, 1987.
- 5. Hinsaw HC, Murray JF ; Clinic, laboratory and radiographiç sign sin silicosis. Disease of the chest. 4 nd. W.B. Saunders Company. Philadelphia, London, Toronto Page 718, 1980.
- 8. İssalbaçher KJ, Adams AD, Braunwald E, Petersdor RJ, Wilson JD : Pulmonary Function tests in silicosis. Harison's : Principles of internal Medicine, Nineth Edition. Mc Graw Hill Kogasuska. Tokyo, Aucland, Bogota, Guatemale, Sydney Page 1220, 1980.
- 7. Kilbum KH, Warshaw R : Pulmaonary function testing İor occupational epidemiology and disability. Wiison AF ; Pulmonary İunction testing indications im terpretertations, Grune Siraton. Harcourt Brace Jovancvich Publishers, Orlando Newyork, Sandiago Sydney Toronto Page 329, 1985.
- 8, Lapp NE, Morgon WKC : Respiratory disease in Coal Miners. Am. Rev. hespir. Dis. 113, 531-559, 1976.
- 9. Weil H : Pulmonary function testing industry stry. Journal of occupational Medicine Volum 15, No 9 Page 694, 1973.
- 10. ZenzC: Occupational Medicine. Principles and Pratical Applications. Batıgelli : Mc : Determination of fitnessto work. Year book Medical Publishars. 25 Bast Wacker Drive chicago. Page 127. 1915.
- 11. Ziskind M, Jonses AN, Hans R : Silicosis. Am Rev Respir Dis. ii3 Pafe 843, 1976.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Gastroenteroloji Cerrahisi |
| Bölüm | Makaleler |
| Yazarlar | |
| Proje Numarası | - |
| Yayımlanma Tarihi | 31 Mart 1990 |
| Yayımlandığı Sayı | Yıl 1990 Cilt: 43 Sayı: 1 |
