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Ventilatory Dynamics According to Bronchial Stenosis in Bronchial Anthracofibrosis  

Jung, Seung Wook (Departments of Internal Medicine, Fatima Hospital)
Kim, Yeon Jae (Departments of Internal Medicine, Fatima Hospital)
Kim, Gun Hyun (Departments of Internal Medicine, Fatima Hospital)
Kim, Min Seon (Departments of Internal Medicine, Fatima Hospital)
Son, Hyuk Soo (Departments of Internal Medicine, Fatima Hospital)
Kim, Jun Chul (Departments of Internal Medicine, Fatima Hospital)
Ryu, Hyon Uk (Departments of Internal Medicine, Fatima Hospital)
Lee, Soo Ok (Departments of Internal Medicine, Fatima Hospital)
Jung, Chi Young (Departments of Internal Medicine, Fatima Hospital)
Lee, Byung Ki (Departments of Internal Medicine, Fatima Hospital)
Publication Information
Tuberculosis and Respiratory Diseases / v.59, no.4, 2005 , pp. 368-373 More about this Journal
Abstract
Background : Bronchial anthracofibrosis usually manifest as a form of obstructive airway disease, and can be accompanied by parenchymal diseases such as pneumonia, and pulmonary tuberculosis. This study investigated the ventilatory dynamics according to the severity of bronchial stenosis in patients with bronchial anthracofibrosis. Method : One hundred and thirteen patients with bronchial anthracofibrosis that was confirmed by bronchoscopy and who had undergone a pulmonary function test were enrolled in this study group. The correlation coefficients between the pulmonary functional parameters and the number of lobes with bronchial stenosis were investigated. Results : The incidence of ventilatory dysfunction was 56(49.6%) for obstructive, 8(7.1%) for restrictive, 2(1.8%) for mixed, and 47(41.6%) for a normal pattern. The $FEV_1/FVC$, $FEF_{25{\sim}75%}$, $FEF_{25%}$, $FEF_{50%}$, $FEF_{75%}$, and PEF showed a significant negative correlation (p<0.05) and the Raw had a significant positive correlation with the number of lobes with bronchial stenosis(p<0.001). Conclusion : These findings suggest that the most common abnormality of the ventilatory function in bronchial anthracofibrosis is an obstructive pattern with a small airway dysfunction according to the severity of bronchial stenosis.
Keywords
Bronchial anthracofibrosis; Ventilatory dynamics; Obstructive; Airway resistance;
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