• 제목/요약/키워드: Low O/F Ratio

검색결과 114건 처리시간 0.036초

Cu-Chabazite SCR Catalysts의 황 피독 및 탈황에 의한 NOx 저감 성능에 관한 연구 (A study of NOx performance for Cu-chabazite SCR catalysts by Sulfur poisoning and desulfation)

  • 남정길
    • Journal of Advanced Marine Engineering and Technology
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    • 제37권8호
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    • pp.855-861
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    • 2013
  • 저온에서 NOx 저감률이 높은 작은 기공을 갖는 Cu-chabazite SCR 촉매는 150 에서 $300^{\circ}C$ 범위의 낮은 배기가스 온도를 갖는 박용 디젤엔진에 적용성이 높다. 불행하게도, 박용디젤엔진용 연료는 체적베이스로 1.5% 이상의 높은 레벨의 황을 함유 할 수 있다. 이것은 공연비 50:1로 엔진 운전시에 배기가스에 이산화황의 레벨이 500 ppm에 해당된다. 배기가스에 포함되어 있는 높은 레벨의 이산화황은 Cu-chabazite SCR 촉매의 NOx 저감률을 감소시키는 역할을 할 수 있다. 본 연구에서는 Cu-chabazite SCR촉매의 황 피독에 의한 NOx 저감 성능을 연구하기 위하여 벤치플로 시스템을 구축하였다. Cu-chabazite SCR 촉매를 황 피독 시키기 위하여 5% 이산화탄소, 14% 산소, 5% 물과 나머지 질소로 만들어진 배기가스에 500 ppm의 이산화황을 각각 150, 200, 250, $300^{\circ}C$에서 2시간씩 노출 시켰다. 황 피독후 Cu-chabazite SCR 촉매의 불활성 한계를 측정하기 위하여 저온(150~$300^{\circ}C$)에서 NOx 저감 성능을 평가하였다. 또한, 600 과 $700^{\circ}C$에서 각각 30분씩 탈황 작업을 수행하여, 황 피독된 Cu-chabazite SCR 촉매의 NOx 저감 성능이 회복될 수 있는 온도를 결정하였다.

편백나무 잎 추출액을 이용한 천연염색포의 항생제 내성균주에 대한 항균성 (Antibacterial Function of Fabrics Dyed with Extract from Chamaecyparis obtusa Leaves against Methicillin-resistant Staphylococcus aureus)

  • 최나영;김지희
    • 한국의류산업학회지
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    • 제19권3호
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    • pp.331-336
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    • 2017
  • Bacteria exist everywhere and continuously come into contact with daily surroundings and humans. Super bacterium methicillin-resistant Staphylococcus aureus, resistant to methicillin, has recently appeared. The morbidity and rate of death associated with super bacteria infection has increased. This study investigated the antibacterial activity of fabrics naturally dyed with Chamaecyparis obtusa leaves extract against methicillin-resistant Staphylococcus aureus. Fabrics were left for 15 min in a natural dyeing solution prepared by extraction from C. obtusa leaves using 11.3% (o.w.f) with a fixed liquor ratio of 1:22 at $40^{\circ}C$. The dyeing process was conducted using three different mordants; subsequently, the K/S value of the dyed fabrics increased in the order of None < Cu < Fe < Al. The color fastness property of the fabrics to washing, dry-cleaning, and rubbing was found to be excellent and ranked in the 4-5 grade. The color fastness to light of natural dyeing is low in most cases and has the problem that the dye color soon becomes bleached. Yet, in most cases cloth dyed with retinispora leaves, the color fastnezz to light was good with a third to fourth grade. Non-mordant fabrics, aluminum mordants, and copper mordants also showed better antibacterial properties (99.9% reduction) against methicillin-resistant Staphylococcus aureus, compared to the control fabrics. The dyed fabrics showed the same antibacterial activity even after three washes. The results highlight the strong potential of fabrics naturally dyed with C. obtusa-extract as a medicinal material with excellent antibacterial function against methicillin-resistant Staphylococcus aureus.

Modification of polyamide reverse osmosis membranes seeking for better resistance to oxidizing agents

  • Silva, Lucinda F.;Michel, Ricardo C.;Borges, Cristiano P.
    • Membrane and Water Treatment
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    • 제3권3호
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    • pp.169-179
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    • 2012
  • One of the major limitations in the use of commercial aromatic polyamide thin film composite (TFC) reverse osmosis (RO) membranes is to maintain high performance over a long period of operation, due to the sensitivity of polyamide (PA) skin layer to oxidizing agents, such as chlorine, even at very low concentrations in feed water. This article reports surface modification of a commercial TFC RO membrane (BW30-Dow Filmtec) by covering it with a thin film of poly(vinyl alcohol) (PVA) crosslinked with glutaraldehyde (GA) to improve its resistance to chlorine. Crosslinking reaction was carried out at 25 and $40^{\circ}C$ by using PVA 1.0 wt.% solutions at different GA/PVA mass ratio, namely 0.0022, 0.0043 and 0.013. Water swelling measurements indicated a maximum crosslinking density for PVA films prepared at $40^{\circ}C$ and GA/PVA 0.0043. ATR-FTIR and TGA analysis confirmed the reaction between GA and PVA. SEM images of the original and modified membranes were used to evaluate the surface coating. Chlorine resistance of original and modified membranes was evaluated by exposing it to an oxidant solution (NaClO 300 mg/L, NaCl 2,000 mg/L, pH 9.5) and measuring water permeability and salt rejection during more than 100 h period. The surface modification effectively was demonstrated by increasing the chlorine resistance of PA commercial membrane from 1,000 ppm.h to more than 15.000 ppm.h.

화재시 고강도 콘크리트의 폭열현상에 관한 고찰 (A Review on Spalling Phenomenon of High Strength Concrete during a Fire Accident)

  • 김형두
    • 한국화재소방학회논문지
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    • 제20권2호
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    • pp.80-86
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    • 2006
  • 본 고찰은 화재시 고강도 콘크리트의 주요 이슈 중의 하나인 폭열 현상에 초점을 맞추어 폭열의 정의, 분류 및 각각의 특징, 발생원인과 그 반응기구에 대하여 선행연구를 중심으로 분석하였다. 폭열은 급격한 온도 상승, 높은 수분 함유량, 낮은 물시멘트비(W/C), 콘크리트 내에 국부적인 높은 응력 발생 등과 같은 요인이 복합적으로 작용하여 발생한다. 이러한 요인을 토대로 폭열을 방지하기 위한 방법으로 크게 콘크리트의 온도 상승을 억제하는 방법, 콘크리트의 비산을 억제하는 방법, 그리고 빠르게 내부 수분을 건조시키는 방법 등을 들 수 있다. 본 고찰에서는 이러한 방법 가운데 가장 효율적인 폭열 방지 방안으로서 콘크리트 내부의 수분을 빠르게 건조시킴으로써 폭열에 이르게 하는 함수율 이하로 낮추어서 콘크리트 자체의 내폭열성을 높이는 방안을 고찰하였다. 실제 강제건조를 통해 함수율을 어떤 임계치(critical value) 이하로 낮추게 되면 폭열을 방지할 수 있으며 이를 위해서는 수동적인 자연건조 외에 강제건조 등으로 함수율을 낮출 필요가 있을 것이다. 이러한 임계치 결정을 위해 추가적인 많은 실험 및 자료가 도출되어야 할 것이다.

해도형 초극세 나일론 편성물의 산성 염료 종류에 따른 염색 및 견뢰도 (Dyeing and Fastness of Sea-island-type Ultrafine Nylon Knitted Fabric according to the Type of Acid Dye)

  • 조항성;심의진
    • 한국염색가공학회지
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    • 제34권3호
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    • pp.135-145
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    • 2022
  • In this study, the dyeability of 0.06-denier-per-filament (dpf) ultrafine sea-island-type nylon knitted fabric was investigated and compared with that of 1.0-dpf general nylon with respect to four types of dyes. In particular, leveling, milling, half-milling, and metal-complex dyes were compared at concentrations of 0.5%, 1.0%, 2.0%, 4.0%, and 8.0% on-weight-fabric (o.w.f). In each case, staining was performed at 100 ℃. The dyeabilities of the materials were compared in terms of the depth of color as defined by the ratio of the absorption coefficient (K) to the scattering coefficient (S). Results indicated generally low K/S values for both the 0.06-dpf ultrafine sea-island-type nylon and 1.0-dpf general nylon. In terms of the dye type, the milling and half-milling dyes exhibited K/S values of ≥20 for all colors of yellow, red, and blue for the 0.06-dpf ultrafine yarn sea-island-type nylon, which were superior to those of the other dye types. Hence, the milling and half-milling dyes are considered more suitable than the other dyes. Further, a comparison of dye fastness and compatibility revealed that the half-milling dye was the most suitable dye for the 0.06-dpf ultrafine sea-island-type nylon.

Various levels of copra meal supplementation with β-Mannanase on growth performance, blood profile, nutrient digestibility, pork quality and economical analysis in growing-finishing pigs

  • Kim, H.J.;Nam, S.O.;Jeong, J.H.;Fang, L.H.;Yoo, H.B.;Yoo, S.H.;Hong, J.S.;Son, S.W.;Ha, S.H.;Kim, Y.Y.
    • Journal of Animal Science and Technology
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    • 제59권7호
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    • pp.19.1-19.10
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    • 2017
  • Background: To reduce use of main feed ingredient like corn, soy bean meal (SBM) and wheat, alternative ingredients has been studied like copra meal (CM). Production amount of CM which has been high makes CM to be an alternative feed stuff. However, low digestibility on AA and low energy content by high fiber content can be an obstacle for using CM. This experiment was conducted to evaluate the effects of CM supplementation with ${\beta}$-mannanase on growth performance, blood profile, nutrient digestibility, pork quality and economic analysis in growing-finishing pigs. Methods: A total of 100 growing pigs ([Yorkshire ${\times}$ Landrace] ${\times}$ Duroc) averaging $31.22{\pm}2.04kg$ body weight were allotted to 5 different treatments by weight and sex in a randomized complete block (RCB) design in 5 replicate with 4 pigs per pen. Treatments were 1) Control (corn-SBM based diet + 0.1% of ${\beta}$-mannanase (800 IU)), 2) CM10 (10% copra meal + 0.1% ${\beta}$-mannanase (800 IU)), 3) CM15 (15% copra meal + 0.1% ${\beta}$-mannanase (800 IU)), 4) CM20 (20% copra meal + 0.1% ${\beta}$-mannanase (800 IU)) and 5) CM25 (25% copra meal + 0.1% ${\beta}$-mannanase (800 IU)). Four phase feeding program was used: growing I (week 1-3), growing II (week 4-6), finishing I (week 7-9) and finishing II (week 10-12). Results: In growth performance, there was no significant difference among treatments during whole experimental period. In growingI phase, G:F ratio tended to increase when CM was increased (P = 0.05), but ADG and ADFI tended to decrease in finishingII phase (linear, P = 0.08). Also, increasing CM reduced ADG (linear, P = 0.02) and feed efficiency (linear, P = 0.08) during the whole finishing period. In blood profiles, BUN was linearly increased as CM increased (linear, P = 0.02) at growingII period. In digestibility trial, there was no significant difference in dry matter, crude fat, crude ash and nitrogen digestibility. However, crude protein digestibility was decreased linearly (linear, P = 0.02). In economic analysis, feed cost per weight gain and total feed cost per pig were reduced in overall period when CM was provided by 25% (linear, P = 0.02). Conclusion: CM with 0.1% of ${\beta}$-mannanase (800 IU) could be supplemented instead of corn and SBM up to 25% without detrimental effects on growth performance and pork quality of growing-finishing pigs.

산업관련표(産業關聯表)에 의(依)한 임업구조분석(林業構造分析)과 유발생산액(誘發生産額) -임업(林業)이 한국경제(韓國經濟)에 미치는 영향(影響)- (Analysis of Forestry Structure and Induced Output Based on Input - output Table - Influences of Forestry Production on Korean Economy -)

  • 이승윤
    • Journal of the Korean Wood Science and Technology
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    • 제2권4호
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    • pp.4-14
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    • 1974
  • The total forest land area in Korea accounts for some 67 percent of the nation's land total. Its productivity, however, is very low. Consequently, forest production accounts for only about 2 percent of the gross national product and a minor proportion of no more than about 5 percent versus primary industry. In this case, however, only the direct income from forestry is taken into account, making no reference to the forestry output induced by other industrial sectors. The value added Or the induced forestry output in manufacturing the primary wood products into higher quality products, makes a larger contribution to the economy than direct contribution. So, this author has tried to analyze the structure of forestry and compute the repercussion effect and the induced output of primary forest products when utilized by other industries for their raw materials, Hsing the input-output table and attached tables for 1963 and 1966 issued by the Bank of Korea. 1. Analysis of forestry structure A. Changes in total output Durng the nine-year period, 1961-1969, the real gross national product in Korea increased 2.1 times, while that of primary industries went up about 1. 4 times. Forestry which was valued at 9,380 million won in 1961, was picked up about 2. 1 times to 20, 120 million won in 1969. The rate of the forestry income in the GNP, accordingly, was no more than 1.5 percent both in 1961 and 1962, whereas its rate in primary industries increased 3.5 to 5.4 percent. Such increase in forestry income is attributable to increased forest production and rise in timber prices. The rate of forestry income, nonetheless, was on the decrease on a gradual basis. B. Changes in input coefficient The input coefficient which indicates the inputs of the forest products into other sectors were up in general in 1966 over 1963. It is noted that the input coefficient indicating the amount of forest products supplied to such industries closely related with forestry as lumber and plywood, and wood products and furniture, showed a downward trend for the period 1963-1966. On the other hand, the forest input into other sectors was generally on the increase. Meanwhile, the input coefficient representing the yolume of the forest products supplied to the forestry sector itself showed an upward tendency, which meant more and more decrease in input from other sectors. Generally speaking, in direct proportion to the higher input coefficient in any industrial sector, the reinput coefficient which denotes the use of its products by the same sector becomes higher and higher. C. Changes in ratio of intermediate input The intermediate input ratio showing the dependency on raw materials went up to 15.43 percent m 1966 from 11. 37 percent in 1963. The dependency of forestry on raw materials was no more than 15.43 percent, accounting for a high 83.57 percent of value added. If the intermediate input ratio increases in any given sector, the input coefficient which represents the fe-use of its products by the same sector becomes large. D. Changes in the ratio of intermediate demand The ratio of the intermediate demand represents the characteristics of the intermediary production in each industry, the intermediate demand ratio in forestry which accunted for 69.7 percent in 1963 went up to 75.2 percent in 1966. In other words, forestry is a remarkable industry in that there is characteristics of the intermediary production. E. Changes in import coefficient The import coefficient which denotes the relation between the production activities and imports, recorded at 4.4 percent in 1963, decreased to 2.4 percent in 1966. The ratio of import to total output is not so high. F. Changes in market composition of imported goods One of the major imported goods in the forestry sector is lumber. The import value increased by 60 percent to 667 million won in 1966 from 407 million won in 1963. The sales of imported forest products to two major outlets-lumber and plywood, and wood products and furniture-increased to 343 million won and 31 million won in 1966 from 240million won and 30 million won in 1963 respectively. On the other hand, imported goods valued at 66 million won were sold to the paper products sector in 1963; however, no supply to this sector was recorded in 1963. Besides these major markets, primary industries such as the fishery, coal and agriculture sectors purchase materials from forestry. 2. Analysis of repercussion effect on production The repercussion effect of final demand in any given sector upon the expansion of the production of other sectors was analyzed, using the inverse matrix coefficient tables attached to the the I.O. Table. A. Changes in intra-sector transaction value of inverse matrix coefficient. The intra-sector transaction value of an inverse matrix coefficient represents the extent of an induced increase in the production of self-support products of the same sector, when it is generated directly and indirectly by one unit of final demand in any given sector. The intra-sector transaction value of the forestry sector rose from 1.04 in 1963 to 1, 11 in 1966. It may well be said, therefore, that forestry induces much more self-supporting products in the production of one unit of final demand for forest products. B. Changes in column total of inverse matrix coefficient It should be noted that the column total indicates the degree of effect of the output of the corresponding and related sectors generated by one unit of final demand in each sector. No changes in the column total of the forestry sector were recorded between the 1963 and 1966 figures, both being the same 1. 19. C. Changes in difference between column total and intra-sector transaction amount. The difference between the column total and intra-sector transaction amount by sector reveals the extent of effect of output of related industrial sector induced indirectly by one unit of final demand in corresponding sector. This change in forestry dropped remarkable to 0.08 in 1966 from 0.15 in 1963. Accordingly, the effect of inducement of indirect output of other forestry-related sectors has decreased; this is a really natural phenomenon, as compared with an increasing input coefficient generated by the re-use of forest products by the forestry sector. 3. Induced output of forestry A. Forest products, wood in particular, are supplied to other industries as their raw materials, increasng their value added. In this connection the primary dependency rate on forestry for 1963 and 1966 was compared, i. e., an increase or decrease in each sector, from 7.71 percent in 1963 to 11.91 percent in 1966 in agriculture, 10.32 to 6.11 in fishery, 16.24 to 19.90 in mining, 0.76 to 0.70 in the manufacturing sector and 2.79 to 4.77 percent in the construction sector. Generally speaking, on the average the dependency on forestry during the period 1963-1966 increased from 5.92 percent to 8.03 percent. Accordingly, it may easily be known that the primary forestry output induced by primary and secondary industries increased from 16, 109 million won in 1963 to 48, 842 million won in 1966. B. The forest products are supplied to other industries as their raw materials. The products are processed further into higher quality products. thus indirectly increasing the value of the forest products. The ratio of the increased value added or the secondary dependency on forestry for 1963 and 1966 showed an increase or decrease, from 5.98 percent to 7.87 percent in agriculture, 9.06 to 5.74 in fishery, 13.56 to 15.81 in mining, 0.68 to 0.61 in the manufacturing sector and 2.71 to 4.54 in the construction sector. The average ratio in this connection increased from 4.69 percent to 5.60 percent. In the meantime, the secondary forestry output induced by primary and secondary industries rose from 12,779 million Wall in 1963 to 34,084 million won in 1966. C. The dependency of tertiary industries on forestry showed very minor ratios of 0.46 percent and 0.04 percent in 1963 and 1966 respectively. The forestry output induced by tertiary industry also decreased from 685 million won to 123 million won during the same period. D. Generally speaking, the ratio of dependency on forestry increased from 17.68 percent in 1963 to 24.28 percent in 1966 in primary industries, from 4.69 percent to 5.70 percent in secondary industries, while, as mentioned above, the ratio in the case of tertiary industry decreased from 0.46 to 0.04 percent during the period 1963-66. The mining industry reveals the heaviest rate of dependency on forestry with 29.80 percent in 1963 and 35.71 percent in 1966. As it result, the direct forestry income, valued at 8,172 million won in 1963, shot up to 22,724 million won in 1966. Its composition ratio lo the national income rose from 1.9 percent in 1963 to 2.3 per cent in 1966. If the induced outcome is taken into account, the total forestry production which was estimated at 37,744 million won in 1963 picked up to 105,773 million won in 1966, about 4.5 times its direct income. It is further noted that the ratio of the gross forestry product to the gross national product. rose significantly from 8.8 percent in 1963 to 10.7 percent in 1966. E. In computing the above mentioned ratio not taken into consideration were such intangible, indirect effects as the drought and flood prevention, check of soil run-off, watershed and land conservation, improvement of the people's recreational and emotional living, and maintenance and increase in the national health and sanitation. F. In conclusion, I would like to emphasize that the forestry sector exercices an important effect upon the national economy and that the effect of induced forestry output is greater than its direct income.

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Data Qualification of Optical Emission Spectroscopy Spectra in Resist/Nitride/Oxide Etch: Coupon vs. Whole Wafer Etching

  • Kang, Dong-Hyun;Pak, Soo-Kyung;Park, George O.;Hong, Sang-Jeen
    • 한국진공학회:학술대회논문집
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    • 한국진공학회 2012년도 제42회 동계 정기 학술대회 초록집
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    • pp.433-433
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    • 2012
  • As the requirement in patterning geometry continuously shrinks down, the termination of etch process at the exact time became crucial for the success in nano patterning technology. By virtue of real-time optical emission spectroscopy (OES), etch end point detection (EPD) technique continuously develops; however, it also faced with difficulty in low open ratio etching, typically in self aligned contact (SAC) and one cylinder contact (OCS), because of very small amount of optical emission from by-product gas species in the bulk plasma glow discharge. In developing etching process, one may observe that coupon test is being performed. It consumes costs and time for preparing the patterned sample wafers every test in priority, so the coupon wafer test instead of the whole patterned wafer is beneficial for testing and developing etch process condition. We also can observe that etch open area is varied with the number of coupons on a dummy wafer. However, this can be a misleading in OES study. If the coupon wafer test are monitored using OES, we can conjecture the endpoint by experienced method, but considering by data, the materials for residual area by being etched open area are needed to consider. In this research, we compare and analysis the OES data for coupon wafer test results for monitoring about the conditions that the areas except the patterns on the coupon wafers for real-time process monitoring. In this research, we compared two cases, first one is etching the coupon wafers attached on the carrier wafer that is covered by the photoresist, and other case is etching the coupon wafers on the chuck. For comparing the emission intensity, we chose the four chemical species (SiF2, N2, CO, CN), and for comparing the etched profile, measured by scanning electron microscope (SEM). In addition, we adopted the Dynamic Time Warping (DTW) algorithm for analyzing the chose OES data patterns, and analysis the covariance and coefficient for statistical method. After the result, coupon wafers are over-etched for without carrier wafer groups, while with carrier wafer groups are under-etched. And the CN emission intensity has significant difference compare with OES raw data. Based on these results, it necessary to reasonable analysis of the OES data to adopt the pre-data processing and algorithms, and the result will influence the reliability for relation of coupon wafer test and whole wafer test.

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거금수도 양식어장의 해양환경 특성 2. 수질과 엽록소 양의 변동특성 (The variational characteristics of Water Quality and Chlorophyll a Concentration in Kogum-sudo, Southern Part of Korean Peninsula)

  • 윤양호;박종식;고남표
    • 한국양식학회지
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    • 제13권1호
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    • pp.87-99
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    • 2000
  • 거금수도의 수질환경과 엽록소 양의 계절변동 특성을 파악하기 위한 현장조사를 1993년 2월, 4월, 8월과 10월 4회에 걸쳐 계절별로 수로내 25개 관측점의 표층과 저층해수를 대상으로 실시하였다. 대상 환경요인은 물리.화학적 환경요인으로 수온염분, 현장밀도, 투명도, 용존산소량(산소포화도와 겉보기 산소소비 포함), 화학적 산소요구량, 영양염류(암모니아염, 아질산염, 질산염, 인산염 그리고 규산염), N/P 비 그리고 총 부유물질량이고, 생물학적요인으로서 엽록소량을 측정, 분석하였다. 결과, 거금수도 해역은 빠른 유속과 조석혼합 등으로 성층의 발달은 보여지지 않았으며, 일부 계절과 항목을 제외하고는 표층과 저층의 관측 값에 차이를 나타내고 있지 않았다. 또한, 수로적 특성으로 저층의 풍부한 영양염류가 표층으로 원활이 공급되어, 해조류 양식장 등으로서 최적의 조건을 구비하고 있으나, 높은 부유물질량에 의해 서식생물에의 나쁜 영향도 우려되었다. 영양염류는 연가 기초생물의 생산활동을 영위할 수 있는 충분한 농도가 용존 하고 있고, 질소와 인의 농도는 비교적 높은 반면, 규산염의 농도가 매우 낮은 특성을 나타내었다. 특히, 거금수도의 영양염류 공급원은 육상으로부터의 담수유입에 의한 비율보다 해역 내 유기물 분해에 의한 영양염류의 재순환과 비교적 높은 영양염류를 포함하는 남해 연안수의 유입에 의한 비가 높은 것으로 판단되었다. 식물플랑크톤의 생물량은 복잡한 물리.화학적 환경요인에 의해 변동되는 특성을 나타내나, 영양염류만을 고려할 때, 여름에는 인산염의 용존량에 의해, 기타 계절은 용존 질소의 용존량에 의해 성장이 지배되는 것으로 나타났다. 거금수도는 현재 부영양화의 초기단계 수준으로 높은 생물생산이 가능하나, 영양염류의 불균형, 해저 퇴적물에 유기물의 축적현상 등으로, 현재의 높은 생물생산을 오랜 기간 지속시키기 위해서는 효율적인 해역의 이용과 관리 방안이 시급히 마련되어야 할 것으로 판단되었다.

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통상성 간질성 폐렴과 비특이성 간질성 폐렴의 임상적 감별 진단 (Clinical Differential Diagnosis of Usual Interstitial Pneumonia from Nonspecific Interstitial Pneumonia)

  • 안창혁;고영민;정만표;서지영;강수정;강경우;안종운;임시영;김호중;한정호;이경수;권오정;이종헌
    • Tuberculosis and Respiratory Diseases
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    • 제48권6호
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    • pp.932-943
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    • 2000
  • 배경 : 비특이성 간질성 폐렴(Nonspecific interstitial pneumonitis ; NSIP)은 통상성 간질성 폐렴(usual interstitial pneumonitis ; UIP)에 비해 치료에 대한 반응과 예후가 좋으므로 반드시 감별 진단하여 적극적인 치료가 필요하나 아직까지 일괄적 폐생검 이외에는 확실한 감별이 되지 않는 실정이다. 이에 외과적 폐생검으로 확진 된 NSIP와 UIP 환자들에서 임상적 특징과 방사선학적 소견의 차이점을 비교하고, 미국흉부학회에서 2000년에 제시한 IPF의 임상 진단기준을 적용하여 진단기준의 유용성올 평가해 보고자 본 연구를 시행하였다. 방법 : 1996년 7월부터 2000년 3월까지 삼성서울병원에서 조직검사 상 UIP와 NSIP로 확진된 60명을 대상으로 후향적 조사를 하였다. 각 환자들의 임상 증상과 폐기능 검사, 동맥혈가스분석, BAL 및 흉부HRCT 소견을 비교하고, 미국흉부학회에서 제시한 IPF의 임상 진단기준에 적용하여 임상적 진단율을 비교해 보았다. 결과 : 1) 전체 60명 중 UIP 환자는 42명, NSIP 환자는 18명이었다. 2) UIP 환자의 평균 연령은 59.5$\pm$7.1세(45~74세)였고, NSIP 환자는 55.2$\pm$8.4세(44~73세)였으며 (p=0.046), UIP는 남자 33명, 여자 9명이었으나 NSIP는 남자 1명, 여자 17명이었다(p=0.001). 3) 호흡기 임상 증상의 유무 및 종류에는 차이가 없었으나, 동반 증상 중 발열은 NSIP 환자에서 많았고(p=0.034), 곤봉지는 UIP 환자에서 많았다 (p=0.023). 4) BAL의 세포 구성비는 NSIP 환자에서 림프구가 많았고(23% vs. 11% ; p=0.0001), CD4/CD8의 비는 NSIP가 더 낮았다(0.76$\pm$0.49 vs. 9.71$\pm$0.25 ; p=0.045). 5) HRCT 소견 상 봉와양 음영은 UIP 환자에서 더 흔히 보였다(86% vs. 0%; p=0.0001). 6) 미국흉부학회의 IPF 임상 진단기준에는 UIP 환자에서는 23.3 %(7/30명)가, NSIP 환자에서는 18.8% (3/16 명)이 만족하였다(p>0.05). 결론 : 나이가 비교적 적은 여자이면서 임상 증상 기간이 짧고 발열이 있으며 곤봉지의 소견이 없고, BAL에서 림프구가 많으며, HRCT 상 봉와양 음영이 없을 경우에는 NSIP를 더 시사하는 소견이며, 미국흉부학회의 IPF 임상 진단기준은 한국에서 유용성이 떨어져 앞으로 한국적인 임상 진단기준의 마련이 필요한 것으로 사료된다.

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