Maloca Ivana, Plavec Davor
Institut za medicinska istrazivanja i medicinu rada, Zagreb.
Arh Hig Rada Toksikol. 2006 Jun;57(2):213-27.
Exhaled breath condensate (EBC) contains aerosolised airway lining fluid and volatile compounds that provide non-invasive insight in biochemical and inflammatory activities in the lung. The interest in EBC has grown rapidly since this easily sampled fluid showed measurable properties that clearly indicate a disease. EBC assays provide evidence of redox deviation, acid-base status, and of the degree and type of inflammation in acute and chronic asthma, chronic obstructive pulmonary disease, cystic fibrosis, adult respiratory distress syndrome, and other lung diseases. Because of uncertain and variable degrees of dilution, EBC does not provide precise assessment of individual solute concentrations within native airway lining fluid. However, it can provide information when concentrations differ substantially between health and disease. Because, EBC assays are approachable and easy to perform, they will become integral components of future clinical studies, and after standardisation is accomplished, they might be used to diagnose and monitor therapy in clinical practice.
呼出气冷凝物(EBC)包含雾化的气道内衬液和挥发性化合物,可提供对肺部生化和炎症活动的非侵入性洞察。自从这种易于采集的液体显示出可测量的特性,清楚地表明疾病以来,对EBC的兴趣迅速增长。EBC检测提供了氧化还原偏差、酸碱状态以及急性和慢性哮喘、慢性阻塞性肺疾病、囊性纤维化、成人呼吸窘迫综合征和其他肺部疾病中炎症程度和类型的证据。由于稀释程度不确定且变化不定,EBC无法精确评估天然气道内衬液中单个溶质的浓度。然而,当健康与疾病之间的浓度存在显著差异时,它可以提供信息。因为EBC检测方法简便易行,它们将成为未来临床研究的重要组成部分,并且在完成标准化后,它们可能会用于临床实践中的诊断和治疗监测。