Abstract:
:Whole-lung lavage is the only efficient treatment in pulmonary alveolar proteinosis. A 36-year-old woman with severe pulmonary alveolar proteinosis confirmed by video-assisted thoracoscopic lung biopsies underwent repetitive whole-lung lavages without improvement. A modified technique consisting of manual ventilation between instillation and aspiration of half the amount of saline used for conventional lavage was applied. Impressive clinical and functional improvement occurred and persisted for 1 year. We believe that the amelioration can be attributed to the technique described above.
journal_name
Chestjournal_title
Chestauthors
Bingisser R,Kaplan V,Zollinger A,Russi EWdoi
10.1378/chest.113.6.1718subject
Has Abstractpub_date
1998-06-01 00:00:00pages
1718-9issue
6eissn
0012-3692issn
1931-3543pii
S0012-3692(16)31525-2journal_volume
113pub_type
杂志文章相关文献
CHEST文献大全abstract::A 55-year-old woman had bilateral hilar lymphadenopathy and retinouveitis. Microscopic examination of a biopsy specimen from a mediastinal lymph node revealed noncaseating epithelioid cell granulomas. Since granulomatous diseases of infectious origin and sarcoid reaction were reasonably excluded, she was diagnosed as ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.95.1.228
更新日期:1989-01-01 00:00:00
abstract:BACKGROUND:Interest in airways inflammatory disease has increasingly focused on innate immunity. We investigated several components of innate immunity in induced sputum of patients with cystic fibrosis (CF), COPD, and asthma, and healthy control subjects. METHODS:Twenty eight patients with mild CF lung disease (age > ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.128.4.2316
更新日期:2005-10-01 00:00:00
abstract::Between December 1985 and August 1988, there were 115 patients at 13 centers who were entered on a randomized comparison of tetracycline and bleomycin for treatment of malignant pleural effusions. Fifteen patients were not treated, primarily due to rapid progression of systemic cancer. Fifteen patients entered on a hi...
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.100.6.1528
更新日期:1991-12-01 00:00:00
abstract:BACKGROUND:Current management guidelines for pulmonary arterial hypertension (PAH) recommend a treatment choice based primarily on World Health Organization (WHO) functional class. This study was designed to assess how the incorporation of readily obtained clinical and test-based information may significantly improve t...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.10-1293
更新日期:2011-06-01 00:00:00
abstract::Inadequate tissue oxygenation may occur in critically ill patients with sepsis despite an apparently adequate O2 transport (QO2), and this may contribute to the development of an O2 debt and also to multiple organ failure. It has been shown that increasing QO2 by infusing a vasodilator may reveal this O2 debt in septi...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.98.6.1467
更新日期:1990-12-01 00:00:00
abstract::To determine whether continuous Fick cardiac output measurement is applicable to exercise testing, cardiac output data obtained by the continuous Fick method (Qcf) during exercise were compared with data obtained by the thermodilution method (Qth). Seventeen patients with old myocardial infarction underwent a 1-min or...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.104.2.419
更新日期:1993-08-01 00:00:00
abstract::There exists a high prevalence of OSA in the general population, a great proportion of which remains undiagnosed. The snoring, tiredness, observed apnea, high BP, BMI, age, neck circumference, and male gender (STOP-Bang) questionnaire was specifically developed to meet the need for a reliable, concise, and easy-to-use...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.15-0903
更新日期:2016-03-01 00:00:00
abstract::Resection of the tricuspid valve without prosthetic replacement has successfully been performed in patients with tricuspid valvular endocarditis. Using M-mode, two-dimensional, and Doppler echocardiograms, we studied four patients who underwent tricuspid valvectomy. All patients had previous history of intravenous dru...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.87.5.668
更新日期:1985-05-01 00:00:00
abstract:STUDY OBJECTIVES:(1) To determine physician preferences in the management of warfarin-induced excessive anticoagulation (AC); and (2) to assess compliance with the American College of Chest Physicians (ACCP) guidelines for the reversal of excessive AC. DESIGN:Cross-sectional physician survey. PARTICIPANTS:Members of ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.120.6.1972
更新日期:2001-12-01 00:00:00
abstract::Transesophageal echocardiography (TEE) is a safe and minimally invasive tool that can routinely provide high-quality anatomic and hemodynamic information in the severely ill. Despite its potential for frontline acute care clinicians, TEE use has typically been reserved for diagnostic experts in the cardiac-surgical mi...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1016/j.chest.2018.09.023
更新日期:2019-01-01 00:00:00
abstract::While the outcome of in-hospital cardiopulmonary arrest has been studied extensively, the clinical antecedents of arrest are less well defined. We studied a group of consecutive general hospital ward patients developing cardiopulmonary arrest. Prospectively determined definitions of underlying pathophysiology, severit...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.98.6.1388
更新日期:1990-12-01 00:00:00
abstract::A study of 26 men with bronchogenic cancer demonstrated high serum calcitonin levels in 62 percent (16). Levels were particularly high in patients with small-cell cancer and adenocarcinoma. Two varieties of hypercalcitonemia have been encountered: (1) ectopic hypercalcitonemia, in which the hormone is secreted by the ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.69.4.495
更新日期:1976-04-01 00:00:00
abstract::In the case reported, a patient with severe right ventricular failure following coronary revascularization was successfully weaned from cardiopulmonary bypass following creation of an atrial septal defect. This technique facilitated rapid decompression of the failing right ventricle by shunting blood to the more compl...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.92.5.950
更新日期:1987-11-01 00:00:00
abstract:BACKGROUND:Conventional tests are not always helpful in making a diagnosis of tuberculous pleurisy. Many studies have investigated the usefulness of interferon (IFN)-gamma measurements in pleural fluid for the early diagnosis of tuberculous pleurisy. We conducted a metaanalysis to determine the accuracy of IFN-gamma me...
journal_title:Chest
pub_type: 杂志文章,meta分析,评审
doi:10.1378/chest.06-2273
更新日期:2007-04-01 00:00:00
abstract::Previous studies on the bronchodilating effect of nitrates yielded conflicting results. We hypothesized that the concomitant bronchial vasodilatation induced by nitrates may limit the increase of airway patency due to bronchial smooth muscle relaxation. To test this hypothesis, we evaluated the bronchodilating effect ...
journal_title:Chest
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1378/chest.107.1.169
更新日期:1995-01-01 00:00:00
abstract::This study was undertaken to determine if the production of pulsatile flow by the intra-aortic balloon pump during cardiopulmonary bypass has any beneficial effect on coronary flow, regional myocardial flow, myocardial metabolism, and left ventricular function. Thirty-six conditioned dogs were subjected to one hour of...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.75.1.37
更新日期:1979-01-01 00:00:00
abstract::We compared, in a controlled clinical trial, the effect of specific inspiratory muscle training combined with general exercise reconditioning, for six months, with that of general exercise reconditioning alone on inspiratory muscle strength, endurance, and exercise performance in patients with COPD. Thirty-six patient...
journal_title:Chest
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1378/chest.102.5.1351
更新日期:1992-11-01 00:00:00
abstract:BACKGROUND:Planning for mass critical care in resource-poor and constrained settings has been largely ignored, despite large, densely crowded populations who are prone to suffer disproportionately from natural disasters. As a result, disaster response has been suboptimal and in many instances hampered by lack of planni...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.14-0745
更新日期:2014-10-01 00:00:00
abstract::Clinically apparent involvement of the nervous system occurs in a relatively small number of patients with sarcoidosis. The diagnosis of neurosarcoidosis is often difficult and particularly so in patients who lack either pulmonary or systemic manifestations of sarcoidosis. Furthermore, clinical features of neurosarcoi...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.112.1.220
更新日期:1997-07-01 00:00:00
abstract:STUDY OBJECTIVES:The aim of this study was to develop an acute asthma index for utilization in the early differentiation between patients with poor and good therapeutic response in the emergency department (ED) setting. SETTING:The ED of a large tertiary-care hospital in Montevideo, Uruguay. PATIENTS AND DESIGN:The s...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.114.4.1016
更新日期:1998-10-01 00:00:00
abstract::Antiphospholipid syndrome is an autoimmune disorder characterized by a hypercoagulable state, leading to arterial and venous thrombosis. We present a 23-year-old patient, suspected of having Budd-Chiari syndrome due to antiphospholipid syndrome, who developed severe and progressive hypoxemia, requiring prolonged mecha...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.13-2879
更新日期:2014-11-01 00:00:00
abstract::This study analyzes the use of PAC in a registry comprising 5,841 hospitalized patients with AMI. A total of 371 patients received PAC. In-hospital mortality was higher in patients with CHF who received PAC, while there was no difference in patients with cardiogenic shock or persistent hypotension. Mortality in patien...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.98.6.1331
更新日期:1990-12-01 00:00:00
abstract:STUDY OBJECTIVES:To assess the functional sequelae (FS) of patients with tuberculous pleurisy (TP), to analyze the influence of different factors in the occurrence of these FS, and, finally, to evaluate the relationship between the FS and roentgenographic sequelae. DESIGN:An observational, retrospective study. SETTIN...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.123.6.1996
更新日期:2003-06-01 00:00:00
abstract::An unusual case of essential thrombocythemia in a young man presenting with progressive angina pectoris is presented. Angiography revealed proximal left anterior descending artery stenosis. Successful percutaneous transluminal angioplasty along with antiplatelet therapy and a calcium channel blocking drug have rendere...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.86.6.933
更新日期:1984-12-01 00:00:00
abstract::We describe a neonate with an accessory diaphragm, a rare congenital anomaly. It almost always occurs in the right hemithorax, which appears diffusely hazy on the anterior chest roentgenogram. The lateral chest roentgenogram is essential in the diagnosis of this condition. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.94.3.662
更新日期:1988-09-01 00:00:00
abstract::Exposure to cigarette smoke can lead to a variety of parenchymal lung diseases, including diffuse cystic lung diseases (DCLDs). Lymphangioleiomyomatosis (LAM) is the prototypical DCLD and has a characteristic appearance on high-resolution CT (HRCT). We present a series of four patients with DCLD on HRCT who were refer...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2018.02.027
更新日期:2018-08-01 00:00:00
abstract::Microbubble formation has been accepted as the mechanism producing contrast echoes. Comparisons of the contrast effects of various agents have been studied extensively, but the importance of gas-mixing has been less appreciated. To test the hypothesis that good gas-mixing, by facilitating microbubble formation, would ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.89.5.723
更新日期:1986-05-01 00:00:00
abstract::Chronic pulmonary thromboembolism (CPE) is a challenging diagnosis for clinicians. It is an often-forgotten diagnosis and can be difficult to detect and easily misdiagnosed. The radiologic features on CT pulmonary angiography are subtle and can be further compounded by pathologic mimics and unusual findings observed w...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.12-1384
更新日期:2013-05-01 00:00:00
abstract::We evaluated two patients with systemic cholesterol embolization (SCE) associated with the development of pleural effusions. These two patients had evidence of atherosclerosis and presented with livedo reticularis, renal insufficiency, and gangrenous cutaneous changes as manifestations of their SCE. In both cases, clo...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.103.3.792
更新日期:1993-03-01 00:00:00
abstract:BACKGROUND:The US Centers for Disease Control and Prevention has implemented a new, multitiered definition for ventilator-associated events (VAEs) to replace their former definition of ventilator-associated pneumonia (VAP). We hypothesized that the new definition could be implemented in an automated, efficient, and rel...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.13-2255
更新日期:2014-12-01 00:00:00