Whole-lung lavage in alveolar proteinosis by a modified lavage technique

被引:28
作者
Bingisser, R
Kaplan, V [1 ]
Zollinger, A
Russi, EW
机构
[1] Univ Zurich Hosp, Dept Internal Med, Div Pulm, CH-8091 Zurich, Switzerland
[2] Univ Zurich Hosp, Inst Anesthesiol, CH-8091 Zurich, Switzerland
关键词
bronchoalveolar lavage; lung pathology; pulmonary alveolar proteinosis; pulmonary surfactants;
D O I
10.1378/chest.113.6.1718
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
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.
引用
收藏
页码:1718 / 1719
页数:4
相关论文
共 6 条
[1]   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
[2]   A COMPARISON OF MANUAL TO MECHANICAL CHEST PERCUSSION FOR CLEARANCE OF ALVEOLAR MATERIAL IN PATIENTS WITH PULMONARY ALVEOLAR PROTEINOSIS (PHOSPHOLIPIDOSIS) [J].
HAMMON, WE ;
MCCAFFREE, DR ;
CUCCHIARA, AJ .
CHEST, 1993, 103 (05) :1409-1412
[3]   IMPROVEMENT IN ALVEOLAR MACROPHAGE-MIGRATION AFTER THERAPEUTIC WHOLE LUNG LAVAGE IN PULMONARY ALVEOLAR PROTEINOSIS [J].
HOFFMAN, RM ;
DAUBER, JH ;
ROGERS, RM .
AMERICAN REVIEW OF RESPIRATORY DISEASE, 1989, 139 (04) :1030-1032
[4]   PULMONARY ALVEOLAR PROTEINOSIS - PROSPECTIVE CLINICAL-EXPERIENCE IN 23 PATIENTS FOR 15 YEARS [J].
KARIMAN, K ;
KYLSTRA, JA ;
SPOCK, A .
LUNG, 1984, 162 (04) :223-231
[5]   PULMONARY ALVEOLAR PHOSPHOLIPOPROTEINOSIS - EXPERIENCE WITH 34 CASES AND A REVIEW [J].
PRAKASH, UBS ;
BARHAM, SS ;
CARPENTER, HA ;
DINES, DE ;
MARSH, HM .
MAYO CLINIC PROCEEDINGS, 1987, 62 (06) :499-518
[6]  
RAMIREZ RJ, 1963, ARCH INTERN MED, V112, P419