Naslov
Veza između auskultatornih nalaza nad plućima i ventilacijskih testova bolesnika s kroničnom opstruktivnom bolesti pluća
(Correlation between auscultatory pulmonary findings and ventilation tests in patients with chronic obstructive lung disease)

Autori
Kes, Petar ; Mimica, Milorad ; Femenić-Kes, Ranka

Izvornik
Anali Kliničke bolnice "Dr. M. Stojanović" (0301-2255) 20 (1981); 43-56

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
bolest; pluća; kronična; opstruktivna; test; ventilacijski; nalaz; auskultatorni
(disease; pulmonary; chronic; obstructive; test; ventilation; findings; auscultatory)

Sažetak
SUMMARY In the world and Yugoslav medica! literature there are contradictory views on the value of lung auscultation in the diagnosis of chronic obstruetive lung disease. The author.s of the present article set out to examine the significance of auseultatory lung phenomena (prolonged expiration and bronchitic sounds) in the diagnosis of chronic obstructive lung disease. For this purpose they examined correlation between auscultatory lung phenomena and so-called objective indicators (ventilation tests) of obstruction of the respiratory pathways. Examinations were carried out on a sample of 147 men and 115 women aged between 39 and 58 years, in whom bronchitic sounds (or protracted expiration) were registered by lung auscultation. Forty-seven men and 45 women in whom no such phenomena were observed by auscultatioin and who did not have any pulmonary, heart, infectious or malignant disease, were taken as a control group. Subjects in both groups had similar characteristics with regard to life, sex, height, place of residence, education, and occupation. Amiong Ihe subjects in the first group there were a siignificantly largar number of current and former smokers than in the control group. Persons in whose lungs bronchitic sounds and/or prolonged expiration were registered had in terms of percentages significantly smaller FVC, FEVi, and Tifjeneau values. This finding was confirmed by a comparison of fhe average FVC, FEV1, and Tifeneau values in subjects with and without an auscultatory lung finding. Subjects with bronchitic sounds in the lungs had on an average smaller FVC (men 3, 190 cu. cm., women 2, 146.2 ou. cm) and FEVi values (men 1, 860 cu. cm., wiomen 1, 583.3 cu. cm.) than those in which only a prolonged expiration was registered by lung auscultation (FVC: men 3, 914 cu. cm, women 2, 907.3 cu. cm ; FEVi: men 2, 600.9 cu. cm., women 2, 031.7 cu. cm). On the basis of the above-cited results, it can be seen ithat there was a significant correlation between auscultatory findings of bronchitic sounds and pro- lomged expiration wlth ventilation indicators of restriction (FVC), and even more of obstruction (FEV1 and Tiffeneau's test) of the respiratary pathways. The authors have arrived at the conclusiom that lung auscultation is a vary useful method that can be successfully used in the detection of chronic obstructive lung disease. Auscultatory methods should be further developed ; they can be used, along with other so-called objective methods, in the diagnosis of chronic obstructive lung disease. Special attention should be paid to bronchitic sounds, which are for this disease more specific than prolonged expiration.

Izvorni jezik
Hrvatski

Znanstvena područja
Kliničke medicinske znanosti

Napomena
Objavljen je i sažetak rada na engleskom jeziku.

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