Salord N, Miralda R M, Casan P
Unidad de Función Pulmonar, Departamento de Neumología, Hospital de la Santa Creu i Sant Pau, Facultad de Medicina, UAB, Barcelona, Spain.
Arch Bronconeumol. 2002 Sep;38(9):452-4. doi: 10.1016/s0300-2896(02)75260-5.
We report a case of a 26 year old man who was diagnosticated of ALS. This case is a graphic example of the pulmonary function evolution through the flow-volume loop. In the first study the espirometric values were in the normal range. The Static pulmonary pressures were weackle decreased. This was the only sign of respiratory muscle impairement. Its important to study close enough the pulmonary function through the flow/volume loop, maximal respiratory pressures and maximal voluntary Ventilation in order to know the empairment rate, and also to detect intercurrent procedures as bulbar involvement, that can affect the prognosis of the disease.
我们报告一例26岁被诊断为肌萎缩侧索硬化症(ALS)的男性病例。该病例是通过流量-容积环展示肺功能演变的一个生动实例。在首次检查中,肺量计测量值在正常范围内。静态肺压略有下降。这是呼吸肌受损的唯一迹象。通过流量/容积环、最大呼吸压力和最大自主通气来充分研究肺功能非常重要,以便了解损伤程度,同时检测如延髓受累等并发情况,这些情况可能影响疾病的预后。