老年肺气肿与肺功能的初步观察  

Observation on patients with senile emphysema and their pulmonary functions

作　　者：马利铭[1] 丁思权[1] 栾湘宁[1] 

机构地区：[1]空军总医院呼吸内科

出　　处：《空军总医院学报》1989年第1期11-14,共4页Journal of General Hospital of Air Force,PLA

摘　　要：本文旨在观察老年残气量增高对通气与弥散功能的影响,从而探讨生理性与病理性肺气肿的鉴别。151例男性老年人的检查资料表明,无心肺疾患之健康组,RV/TLC、DLco,FEV1.0％、50、25等参数均明显优于吸烟组、冠心病组、陈旧性肺结核组及慢性支气管炎组(P<0.05～0.01)。随残气量的增高,DLco、V50、V25均有极显著下降(P<0.01),FEV1.0％也有相应的下降,但无统计学差异,而FEV1.0％在慢性阻塞性肺气肿下降极明显。故认为以RV/TLC、V50、25、及FEV1.0％四项综合考虑,以判断老年患者肺气肿为生理性抑为/并病理性,有一定实用价值。The aim of this paper was to find out the parameters which can be used to differentiate the physiological and pathological emphysema of elderly. Pulmonary functions of 151 elderly males were examined and compared. They were classified into healthy, smoker, coronary atherosclerotic heart disease, old pulmonary TB and chronic bronchitis groups. By comparing their parameters of different groups, the following conclusions might be drawn:(1) significant correlation between FEV1.0% and severity of obstructive emphvsema. (2)com-prehensive consideration of the five parameters (RV/TLC, V50- V25and FEV1-0%) might be adopted as a guide to differentiate the physiotogical and pathological emphysema.

关 键 词：老年 肺气肿 肺功能 

分 类 号：R563.3[医药卫生—呼吸系统]