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[遗传性α-1抗胰蛋白酶缺乏症患者慢性阻塞性肺疾病的临床表现变异性]

[The variability of clinical presentation of chronic obstructive pulmonary disease in patients with hereditary alpha-1 antitrypsin deficiency].

作者信息

Kuca Paweł, Kamiński Dariusz, Campbell Edward, Kołakowski Jacek, Goljan-Geremek Anna, Puścińska Elzbieta, Bieleń Przemysław, Nowiński Adam, Wojda Emil, Hawryłkiewicz Iwona, Sliwiński Paweł, Górecka Dorota

机构信息

Oddziału Intensywnej Terapii Pneumonologiczno--Kardiologicznej, Warszawa.

出版信息

Pneumonol Alergol Pol. 2004;72(9-10):420-3.

Abstract

Four patients with alpha-1 antitrypsin (alpha-1 AT) deficiency are presented: one woman with severe (phenotype PiZ) and 3 men with moderate (phenotype PiMZ) deficiency of alpha-1 AT. The variability of clinical presentation of hereditary emphysema is described. In all patients tobacco smoking history, spirometric and 6-minutes walking tests as well as HRCT of the lung were performed and compared. The influence of smoking on the functional status is underlined.

摘要

本文介绍了4例α1抗胰蛋白酶(α1AT)缺乏症患者:1例患有严重α1AT缺乏症(PiZ型)的女性和3例患有中度α1AT缺乏症(PiMZ型)的男性。描述了遗传性肺气肿临床表现的变异性。对所有患者进行了吸烟史、肺功能测定和6分钟步行试验以及肺部高分辨率CT(HRCT)检查,并进行了比较。强调了吸烟对功能状态的影响。

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