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To the smoking group,Supported by the Ministry of Science and Technology of China(2001DA30031),the indicants such as FEV1,MVV,FEV1/FVC had decreased (P.05),and the indexes of the small airway function(PEF、FEF 25、FEF 50、FEF 75、MMEF)had significantly dropped (P.01).And the smokers especially long-term smokers,most indexes of the pulmonary ventilatory functions and all indexes of the small airway function negatively correlated with smoking indexes.

结果各项肺功能检测指标中,肺容量指标和吸烟与否以及吸烟量无明显关系;和不吸烟组相比,吸烟组部分肺通气功能(FEV1、MVV、FEV/FCV)以及全部小气道功能(PEF、FEF25%、FEF50%、FEF75%、MMEF75/25)均明显降低,其差异有统计学意义分别为P.05和P.01,并且其损害程度与吸烟指数成正比。

The results show that (1) the flow volume angle A50 is a reliable parameter for the diagnosis of MEFVC;(2) the flow volume angle A75 has the best sensitivity for early detection of small airway dysfunction;(3) we also establish the normal predicted equations of pulmonary function testing for the adult Chinese in Taiwan area.(4) length of arm span and sitting height are reliable indices to predict body height for the calculation of normal pulmonary function data.

结 果显示:流量容积角A50 可当作用力呼气流量容积图形之总体肺通气功能检查的诊断指标;流量容积角A75 对早期小呼吸道之功能不彰具有侦测的功能;本研究亦建立了在台湾地区之成年中国人的正常肺功能预测值公式,以供参考用;量取手臂侵与生高之值确可用来推测身高值。

Results Female patient, 31 years old, pregnant for 2 months after in vitro fertilization and embryo transfer, manifested with fever, shortness of breath for 1 month and the symptoms exacerbated for 1 week, was admitted to hospital with respiratory distress and severe hypoxemia. After 1 week of non-invasive ventilation, anti-bacterial and anti-virus treatments, she still had a sense of breath shortness, dry cough and was in intermittent fever, but tuberculosis-related examinations were negative. CT scan of the lungs mainly represented by ground-glass-like combined with atypical diffuse miliary change. White blood cell counts were normal. After experimental anti-tuberculosis treatments, the patient had significant improvement in symptoms, and the lesions were apparently absorpted under review of chest CT .

结果 女性患者,31岁,采取体外受精胚胎移后植妊娠2月余,发热1月加重伴气促1周入院,入院时呼吸窘迫,伴严重低氧血症,予无创通气、抗细菌和抗病毒治疗1周,仍感气促、干咳、高热,结核相关检查阴性,胸部 X 线表现以双肺毛玻璃样伴有不典型弥漫性粟粒状改变为主,白细胞计数正常,试验性抗结核治疗后,患者症状明显改善,复查胸部 CT ,病变吸收明显。

Results : Female patient,31 years old,pregnant for 2 months after in vitro fertilization and embryo transfer,manifested with fever,shortness of breath for 1 month and the symptoms exacerbated for 1 week,was admitted to hospital with respiratory distress and severe hypoxemia.After 1 week of non-invasive ventilation,anti-bacterial and anti-virus treatments,she still had a sense of breath shortness,dry cough and was in intermittent fever,but tuberculosis-related examinations were negative.CT scan of the lungs mainly represented by ground-glass-like combined with atypical diffuse miliary change.White blood cell counts were normal.After experimental anti-tuberculosis treatments,the patient had significant improvement in symptoms,and the lesions were apparently absorpted under reviewof chest CT.

结果:女性患者,31岁,采取体外受精胚胎移植妊娠2月余,发热1月加重伴气促1周入院,入院时呼吸窘迫,伴严重低氧血症,予无创通气、抗细菌和抗病毒治疗1周,仍感气促、干咳、高热,结核相关检查阴性,胸部 X 线表现以双肺毛玻璃样伴有不典型弥漫性粟粒状改变为主,白细胞计数正常,试验性抗结核治疗后,患者症状明显改善,复查胸部 CT ,病变吸收明显。

Furthermore, the research shows that the cavitator diameter has an important effect on the fineness ratio of the ventilated supercavity, which is not the same as the natural supercavity.

此外,研究表明空化器直径对通气超空泡的细长比的影响较大,这与对自然超空泡形态的影响不相同。

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