頁籤選單縮合
題 名 | Importance of Sputum Differential Cell Counting in the Diagnosis of Airway Diseases=痰液細胞分類計數於各種呼吸道疾病鑑別診斷的運用 |
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作 者 | 許正園; 黃枝梅; 金湘玲; 江自得; | 書刊名 | 臺灣醫學會雜誌 |
卷 期 | 96:5 1997.05[民86.05] |
頁 次 | 頁330-335 |
分類號 | 415.41 |
關鍵詞 | 痰液細胞; 呼吸道疾病; Sputum; Eosinophil; Asthma; Chronic cough; Chronic obstructive pulmonary disease; Congestive heart failure; |
語 文 | 英文(English) |
英文摘要 | We examined the sputum of 114 subjects by noninvasive methods (voluntary coughiing or induced cough with hypertonic saline) to determine whether sputum examination could be used to separate patients with episodic wheezing, dyspnea or cough of unknown origin into differnet diagnostic categories. An increased percentage of sputum eosinophils was seen in 92% (48/52) of asthmatics, 36% (9/25) of patients with chronic obstructive pulmonary disease (COPD) and 28% (7/25) of chronic coughers, but not in any of the 12 patients with congestive heart failure (CHF). Eight patients with combined symptoms of COPD and asthma (mixed COPD subgroup) showed above average diurnal peak expiratory flow variation (10.3 ± 2.1% vs 2.5 ± 1.4%, p<0.05) and an above average percentage of sputum eosinophils (19.8 ± 9.1 vs 2.1 ± 3.2 p<0.01) than those in the pure COPD group. After therapeutic corticosteroid trial, all of the mixed COPD patients and six of the 17 pure COPD patients were steroid responders. Seven of the 25 chronic coughers had sputum eosinophilia, but no asthmatic symptoms. The cough symptoms subsided in five of these seven patients after steroid treatment but not in the other 18 chronic coughers. Further study is indicated to determine if simple eosinophilic bronchitis is an early stag eof asthma. In conclusion, sputum differential cell counting is a useful nonivasive diagnostic tool in differentiating diseases with episodic wheezing or chronic cough. |
本系統中英文摘要資訊取自各篇刊載內容。