Abstract:
:Chemical sclerosis of the pleural space is used to prevent recurrence of spontaneous pneumothorax. To test whether sclerosis restricts diaphragmatic excursion, we measured diaphragmatic excursion by ultrasonography in subjects with unilateral pleural sclerosis and compared it with diaphragmatic excursions in normal subjects, in subjects with cystic fibrosis (a diffuse bilateral lung disease), and in those who underwent surgical procedures that obliterate the pleural space. In five subjects with unilateral chemical sclerosis, diaphragmatic excursion was significantly less on the sclerosed side than on the contralateral side (10.7 +/- 1.3 vs 17.3 +/- 1.7 mm, mean +/- SEM; p less than .01). Compared with those of normal subjects, the side-to-side differences in excursion were increased by pulmonary disease (p less than .03) and additionally by unilateral sclerosis (p less than .015). There was no significant difference between diaphragmatic excursions on left and right sides of subjects without history of pleural disease. These data suggest that chemical pleural sclerosis causes a measurable reduction in diaphragmatic excursion on the affected side. The physiologic significance of this effect is not known.
journal_name
Chestjournal_title
Chestauthors
Loring SH,Kurachek SC,Wohl MEdoi
10.1378/chest.95.2.374subject
Has Abstractpub_date
1989-02-01 00:00:00pages
374-8issue
2eissn
0012-3692issn
1931-3543pii
S0012-3692(16)33294-9journal_volume
95pub_type
杂志文章相关文献
CHEST文献大全abstract:BACKGROUND:Altitude exposure is associated with mild pulmonary hypertension and decreased exercise capacity. We tested the hypothesis that pulmonary vascular resistance (PVR) contributes to decreased exercise capacity in hypoxic healthy subjects. METHODS:An incremental cycle ergometer cardiopulmonary exercise test and...
journal_title:Chest
pub_type: 杂志文章,随机对照试验
doi:10.1378/chest.08-2222
更新日期:2009-05-01 00:00:00
abstract::Antemortem diagnosis of a perforated MV aneurysm by Doppler echocardiography, as well as two-dimensional echocardiography (2-DE), has not been reported. Herein we present such a case. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.97.3.753
更新日期:1990-03-01 00:00:00
abstract:BACKGROUND:Acute myopathy following mechanical ventilation for near-fatal asthma (NFA) has been described recently, and some researchers have suggested that this complication is related to the use of neuromuscular blocking agents (NMBAs) and corticosteroids (CSs). OBJECTIVES:To determine the incidence of acute myopath...
journal_title:Chest
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1378/chest.115.6.1627
更新日期:1999-06-01 00:00:00
abstract::Human leukocyte antigen (HLA) tissue-typing studies on patients with genetically transmitted hypertrophic cardiomyopathy have demonstrated an HLA linkage in a Caucasian and black patient group and an HLA-DR locus association in a Japanese population sample. To confirm whether a specific HLA antigen(s) might serve as a...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.81.4.466
更新日期:1982-04-01 00:00:00
abstract::Persistent minor hemoptysis resulted from extensive granulation tissue on the main carina and adjacent bronchi due to frequent spraying of metered-dose inhaler (MDI)-generated aerosol medications directly into a permanent tracheostomy. Salbutamol, containing oleic acid, was considered the most likely cause. After an A...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.115.1.279
更新日期:1999-01-01 00:00:00
abstract:BACKGROUND:Human telomere disease consists of a wide spectrum of disorders, including pulmonary, hepatic, and bone marrow abnormalities. The extent of bone marrow and liver abnormalities in patients with interstitial lung disease (ILD) and short telomeres is unknown. METHODS:The lung transplant clinic established a pr...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.14-0631
更新日期:2015-06-01 00:00:00
abstract::A patient is reported who had Histoplasma capsulatum endocarditis, a rare form of disseminated histoplasmosis. He also had disseminated intravascular coagulopathy and defects in cell-mediated immune responses to Histoplasma antigens. Prompt etiologic diagnosis was made by stain of tissue from a mouth ulcer and confirm...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.78.5.791
更新日期:1980-11-01 00:00:00
abstract::In order to determine the likelihood of pre-existing nutritional deficits in medical patients with acute respiratory failure, a nutritional assessment survey was performed on 18 control patients with stable COPD and nine patients with COPD and acute respiratory failure. Significant differences were noted with the resp...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.82.5.568
更新日期:1982-11-01 00:00:00
abstract::Auditors in Medicare overpayment or False Claims Act (FCA) cases often use statistical extrapolation to estimate a health-care provider's total liability from a small sample of audited claims. Courts treat statistical extrapolation differently depending on the context. They generally afford the government substantial ...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1016/j.chest.2016.02.637
更新日期:2016-06-01 00:00:00
abstract:STUDY OBJECTIVES:Preoperative renal dysfunction is a risk factor for adverse events in cardiac surgery. This study compared creatinine clearance (ClCr), estimated from the Cockroft and Gault formula, and plasma creatinine level as predictors of outcome after cardiac surgery. DESIGN:Prospective, observational. SETTING...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.124.5.1852
更新日期:2003-11-01 00:00:00
abstract::We describe a ten-month-old patient in whom intermittent patency and closure of the dectus arteriosus was observed clinically, and in whom this observation was uniquely demonstrated at the time of cardiac catheterization. The hemodynamics of this patient and the physiology of ductal closure are discussed. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.68.1.110
更新日期:1975-07-01 00:00:00
abstract::A 42-year-old woman with an anomalous left coronary artery originating from the pulmonary artery and a fistula from the left coronary artery to the left ventricle was treated by aortocoronary bypass grafting of an autologous saphenous vein. The presence of an abundant collateral circulation and of fistulous communicat...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.74.1.102
更新日期:1978-07-01 00:00:00
abstract::Two cases are presented in which a Dormia ureteral stone dislodger with straight filiform tip was used to retrieve broken central venous pressure catheters from the right side of the heart and vena cavae. It should be emphasized that this particular model is more easily passed into the vascular system and more easily ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.3.435
更新日期:1976-03-01 00:00:00
abstract::Pulmonary specimens obtained from ten normal subjects and 53 patients with various pulmonary diseases were studied with energy-dispersive x-ray analysis. The amount of silicon in the pulmonary tissue was determined and expressed as a silicon/sulfur (Si/S) ratio. This Si/S ratio was below 0.2 in the ten normal subjects...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.85.4.506
更新日期:1984-04-01 00:00:00
abstract:BACKGROUND:Both pulmonary hypertension and pulmonary overflow are associated with functional and structural changes of the pulmonary arterial wall. Current techniques to evaluate the pulmonary vasculature neglect the pulsatile nature of pulmonary flow. STUDY OBJECTIVES:To determine whether the dynamic properties of th...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.122.2.549
更新日期:2002-08-01 00:00:00
abstract::This study compared the bronchodilator effect in experimental canine asthma of dyphylline administered by aerosol and intravenous routes in doses producing equivalent concentrations of the drug in the plasma. Pulmonary resistance (RL) was calculated from simultaneous measurements of pressure and flow during fixed-volu...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.79.4.454
更新日期:1981-04-01 00:00:00
abstract::Mucoid impaction is a complication of asthma and is frequently recurrent in patients with allergic bronchopulmonary aspergillosis (ABPA). This report describes a patient with asthma and recurrent bilateral well-circumscribed densities on chest roentgenogram in the absence of ABPA. Recognition of this clinical presenta...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.98.4.1023
更新日期:1990-10-01 00:00:00
abstract:OBJECTIVE:To compare the short-term physiologic effects of mask pressure support ventilation (PSV) and proportional assist ventilation (PAV) in patients in clinically stable condition with chronic ventilatory failure (CVF). DESIGN:Randomized, controlled physiologic study. SETTING:Lung function units of two pulmonary ...
journal_title:Chest
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1378/chest.122.2.479
更新日期:2002-08-01 00:00:00
abstract:STUDY OBJECTIVES:We investigated the role of two leukotriene B4 (LTB4) receptors, BLT1 and peroxisome proliferator-activated receptor (PPAR)-alpha, in conferring the susceptibility to develop COPD in smokers. Proinflammatory LTB4 activities are mediated by BLT1, while the inactivation of LTB4 is promoted by PPARalpha. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.129.6.1523
更新日期:2006-06-01 00:00:00
abstract:STUDY OBJECTIVE:s: Consensus guidelines for the empirical treatment of community-acquired pneumonia (CAP) have been published. We investigated the following factors: (1) the degree of adherence to American Thoracic Society (ATS) and the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR) guidelines; and (2) the...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.122.2.612
更新日期:2002-08-01 00:00:00
abstract:STUDY OBJECTIVES:Unlike thoracocentesis and closed pleural biopsy (CPB), medical thoracoscopy permits biopsy with direct visualization. In a 6-year retrospective study of patients having undergone at least one medical thoracoscopy, we analyzed the diagnostic yield of thoracoscopy and its value in the management of pleu...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.121.5.1677
更新日期:2002-05-01 00:00:00
abstract:BACKGROUND:COPD is associated with significant morbidity primarily driven by acute exacerbations. Relative pulmonary artery (PA) enlargement, defined as a PA to ascending aorta (A) diameter ratio greater than one (PA:A>1) identifies patients at increased risk for exacerbations. However, little is known about the correl...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.13-1422
更新日期:2014-04-01 00:00:00
abstract::A 53-year-old man with tracheobronchomalacia had two stents placed in his airways to maintain patency. He ingested one of the tracheal stents that was inadvertently dislodged during a brief coughing episode. The swallowed stent was recovered without complications. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.108.3.875
更新日期:1995-09-01 00:00:00
abstract::Although the principal actions of clonidine are linked to its centrally mediated suppression of sympathetic activity, its inhibition of the renin axis also may contribute to its antihypertensive effects. In patients with essential hypertension studied in a clinical research center, clonidine-induced decreases in diast...
journal_title:Chest
pub_type: 杂志文章
doi:
更新日期:1983-02-01 00:00:00
abstract::Targeted temperature management (TTM) has been investigated experimentally and used clinically for over 100 years. The initial rationale for the clinical application of TTM, historically referred to as therapeutic hypothermia, was to decrease the metabolic rate, allowing the injured brain time to heal. Subsequent rese...
journal_title:Chest
pub_type: 历史文章,杂志文章,评审
doi:10.1378/chest.12-3025
更新日期:2014-02-01 00:00:00
abstract:BACKGROUND:Obstructive sleep apnea syndrome (OSAS) has been linked to resistant hypertension, but the magnitude of this association and its independence of confounding have not been established. METHODS:Case patients were 63 patients with resistant hypertension (BP >or= 140/90 mm Hg using at least three BP-lowering dr...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.07-1170
更新日期:2007-12-01 00:00:00
abstract::A postmenopausal woman with severe obstructive airways disease and bronchospasm developed increased airflow limitation with the reintroduction of estrogen therapy for osteoporosis. Discontinuation of the estrogen caused symptomatic improvement and decreased her corticosteroid requirement. Readministration of estrogen ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.104.4.1300
更新日期:1993-10-01 00:00:00
abstract::A prospective study was done to compare four different methods of securing oral endotracheal tubes: adhesive tape (A), Twill tape (T), Twill tape with FlexBlue bite block (TFXB), and Velcro tie with FlexBlue (VFXB), used on sequential days. Thirty-six patients were enrolled for 136 patient-days and 18 had complete 4-d...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.104.5.1537
更新日期:1993-11-01 00:00:00
abstract:BACKGROUND:In response to the Agency for Healthcare Research and Quality statement questioning the usefulness of “screening spirometry,” the National Heart, Lung, and Blood Institute and the COPD Foundation held a consensus conference in June 2008 to establish a procedure to detect cases of COPD in the general populati...
journal_title:Chest
pub_type: 杂志文章,随机对照试验
doi:10.1378/chest.11-1474
更新日期:2012-08-01 00:00:00
abstract::We report the findings in a patient with Klippel-Feil syndrome and associated agenesis of right upper and middle lobes, hypoplasia of the right lower lobe of the lung, and Lown-Ganong-Levine syndrome. To our knowledge, such an association has not been previously described. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.101.4.1157
更新日期:1992-04-01 00:00:00