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03-29 00:00
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‡‡ Rod of Asclepius ‡‡

COPD에서... 본문

의학 & 과학

COPD에서...

달의눈물 2007. 11. 2. 16:35

 

Predominant Emphysema
(Pink Puffer)

Predominant Bronchitis
(Blue Bloater)

Age

60

50

Dyspnea

Severe
ABGA
에 비해 심함

Mild
ABGA
에 비해 심하지 않음,

Cough

Dyspnea

Dyspnea

Sputum

Scanty, Mucoid

Copious, Purulent

Infection

Less frequent

More frequent

Respiratory insuffiency

Often Terminal

Repeated

Chest Film

Hyperinflation
flat diaphragm, small heart

Bronchovascular marking increased
at base, Large Heart (RVH)

PaCo2

35~40

50~60 ()

PaO2

65~75

45~60 ()

Hct(%)

35~45

50~55(secondary polycythemia)

Pulmonary Hypertension

Rest : None to mild
Exercise : Moderate

Rest : Moderate to severe
Exercise : Worsen

Cor Pulmonale

Rare

Common

Elastic recoil

↓↓(compliance )

Normal

Dynamic lung
Compliance

N to

N

Inspiratory airway resist.

N to

↑↑

DLco

↓↓

N to

Cyanosis

(-)

(+)

Weight

Weight loss

Overweight


사용자 삽입 이미지

A : Pink Puffer, B : Blue Bloater


Emphysema : 기능은 그럭저럭 좋음. 다만 숨쉬기가 힘들 뿐

Chronic Bronchitis : 기능부전에 의한 보상에 의해 피해가 큼

 

폐기능 검사

Emphysema

Chronic Bronchitis

VC

N to

↓ ↓

TLC

N

FRC

RV

↑ ↑

FEV1/FVC

↓ ↓

↓ ↓

MEFR

↓ ↓

↓ ↓