一側肺全切除術後肺結核後遺症患者の長期経過　閉塞性障害とその原因

• 周 彩存

  蚌埠医学院附属医院呼吸病内科 国立療養所東京病院内科

• 長山 直弘

  国立療養所東京病院内科

• 大塚 義郎

  国立療養所東京病院内科

• 永井 英明

  国立療養所東京病院内科

• 川辺 芳子

  国立療養所東京病院内科

• 町田 和子

  国立療養所東京病院内科

• 佐藤 紘二

  国立療養所東京病院内科

• 相良 勇三

  国立療養所東京病院外科

書誌事項

タイトル別名

• Long-term Study of Patients with Sequelae of Pulmonary Tuberculosis after Pneumonectomy. Obstructive Impairment and its Causes.

抄録

Changes in pulmonary function, chest X-ray films, and CT were retrospectively studied in patients with sequeae of pulmonary tuberculosis 30 years after pneumonectomy (PNX). Over more than 10 years, VC and FEV₁% changed at a rate of 23.2±8.8ml and 0.683±0.688% per year, respectively. In the patients studied 30 years after PNX (N=30), VC was 900±210ml, %VC 31.6±8.1%, and FEV₁% was 67.2±6.8%. About half of these patients had mild airway obstruction. FEV₁% was negatively related to the distance from the hilum to the diaphragm on the mid-clavicular line (on the chest films) divided by body height (r=-0.607). Therefore, we think that the airway obstruction may be due to overextension of the bronchi of middle and lower lobes. Emphysema was not found in 18 patients who had no sign of hyperinflation or herniation of the remaining lung to the PNX side on their CT, but it was found in one patient with these signs.

収録刊行物

• 日本胸部疾患学会雑誌

  日本胸部疾患学会雑誌 33 (4), 416-421, 1995

  社団法人 日本呼吸器学会

キーワード

• 肺結核
• 一側肺全切除術
• 長期経過
• 閉塞性障害
• レントゲン学

詳細情報

• CRID: 1390001205017190784
• NII論文ID: 130003678784
• NII論文ID: 10008106972
• NII書誌ID: AN00187758
• DOI: 10.11389/jjrs1963.33.416
• ISSN: 1883471X
• ISSN: 03011542
• PubMed: 7791270
• Web Site: https://search.jamas.or.jp/link/ui/1995236357
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • PubMed
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可