Bronchoalveolar lavage with trypsin in pulmonary alveolar proteinosis

被引:12
作者
Nagasaka, Y
Takahashi, M
Ueshima, H
Tohda, Y
Nakajima, S
机构
[1] Fourth Department of Medicine, Kinki University, School of Medicine, Osakasayama, Osaka
关键词
bronchoalveolar lavage; trypsin; pulmonary alveolar proteinosis;
D O I
10.1136/thx.51.7.769
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Two cases of pulmonary alveolar proteinosis were treated with bronchoalveolar lavage (BAL) via a fibreoptic bronchoscope. Additional clinical improvement was seen when trypsin was added to the lavage fluid. Analysis of effluents in the BAL fluid showed marked reduction of protein constituents with clinical improvement after treatment with trypsin in the lavage. BAL with trypsin was well tolerated.
引用
收藏
页码:769 / 770
页数:2
相关论文
共 10 条
[1]  
ALTOSE MD, 1976, ARCH SURG-CHICAGO, V111, P1148
[2]   ALVEOLAR PROTEINOSIS - EXPERIENCE WITH TRYPSIN THERAPY [J].
ARORA, PL ;
ROGERS, RM ;
MAYOCK, RL .
AMERICAN JOURNAL OF MEDICINE, 1968, 44 (06) :889-&
[3]  
BRACH BB, 1980, CHEST, V69, P224
[4]   PULMONARY ALVEOLAR PROTEINOSIS - REMISSION AFTER THERAPY WITH TRYPSIN AND CHYMOTRYPSIN [J].
BRODSKY, I ;
MAYOCK, RL .
NEW ENGLAND JOURNAL OF MEDICINE, 1961, 265 (19) :935-&
[5]   UPDATE ON THE CLINICAL-DIAGNOSIS, MANAGEMENT, AND PATHOGENESIS OF PULMONARY ALVEOLAR PROTEINOSIS (PHOSPHOLIPIDOSIS) [J].
CLAYPOOL, WD ;
ROGERS, RM ;
MATUSCHAK, GM .
CHEST, 1984, 85 (04) :550-558
[6]   SURFACTANT PROTEIN-A CONCENTRATION IN BRONCHOALVEOLAR LAVAGE FLUIDS OF PATIENTS WITH PULMONARY ALVEOLAR PROTEINOSIS [J].
HONDA, Y ;
TAKAHASHI, H ;
SHIJUBO, N ;
KUROKI, Y ;
AKINO, T .
CHEST, 1993, 103 (02) :496-499
[7]  
KAO D, 1975, AM REV RESPIR DIS, V111, P361
[8]  
MARTIN RJ, 1980, AM REV RESPIR DIS, V121, P819
[9]  
RIKER JB, 1973, AM REV RESPIR DIS, V108, P108
[10]  
ROGERS RM, 1978, AM REV RESPIR DIS, V118, P255