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만성췌장염과 감별이 곤란하였던 췌두부암

Other Titles
 Pancreatic head cancer presenting with pancreatographic features of chronic pancreatitis 
Authors
 박재민  ;  이준구  ;  김영삼  ;  장윤수  ;  안강현  ;  조현명  ;  김세규  ;  장준  ;  김성규  ;  이원영 
Citation
 Korean Journal of Gastroenterology, Vol.34(2) : 284-286, 1999 
Journal Title
Korean Journal of Gastroenterology(대한소화기학회지)
ISSN
 1598-9992 
Issue Date
1999
Keywords
Chronic pulmonary disease ; Dyspnea ; Resting pulmonary function tests ; Cardiopulmonary exercise test ; Pulmonary impairment/disability ; Cardiopulmonary exertcise test
Abstract
BACKGROUND: Resting pulmonary function tests(PFTs) are routinely used in the evaluation of pulmonary impairment/disability. But the significance of the cardiopulmonary exercise test(CPX) in the evaluation of pulmonary impairment is controvertible. Many experts believe that dyspnea, though a necessary part of the assessment, is not a reliable predictor of impairment. Nevertheless, oxygen requirements of an organis m at rest are different from at activity or exercising, and a clear relationship between resting PFTs and exercise tolerance has not been established in patients with chronic pulmonary disease. As well, the relationship between resting PFTs and dyspnea is complex. To investigate the relationship of dyspnea, Resting PFTs, and CPX, we evaluated the patients of stabilized chronic pulmonary disease with clinical dyspnea rating(baseline dyspnea index, BDI), resting PFTs, and CPX. METHOD: The 50 patients were divided into two groups: non-severe and severe group on basis of results of resting PFTs(by criteria of ATS), CPX(by criteria of ATS or Ortega), and dyspnea rating(by focal score of BDI). Groups were compared with respect to pulmonary function, indices of CPX, and dyspnea rating. RESULTS: 1) According to the criteria of pulmonary impairment with resting PFTs, VO2 max, and focal score of BDI were significantly low in the severe group(p<0.01). According to the criteria of VO2max(ml/kg/min) and VO2max(%), the parameters of resting PFTs, except FEV1, were not significantly different between non-severe and severe(p>0.05). According to focal score(
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Kwan Sik(이관식) ORCID logo https://orcid.org/0000-0002-3672-1198
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/174003
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