Miner`s Pneumoconiosis -A report of three cases with lung biopsies
1968; The Korean Academy of Tuberculosis and Respiratory Diseases; Volume: 15; Issue: 2 Linguagem: Inglês
10.4046/trd.1968.15.2.17
ISSN2005-6184
AutoresSang Baik Oh, Hoe Sung Yoo, Sae Rong Choi,
Tópico(s)Pleural and Pulmonary Diseases
ResumoLlIllg biopsy is one of the dia딩 nostic procedure of Plleumoconiosis,l) yet it is scldom to perform bccause conventional mcasures s l1ch as occupational bistory, chest X.ray and lung function test IIsually solve the problem 2. 3) and thc biopsy is of complexity.Yet the bi이lSy 80metimes is necd.::dfor the diagnostic con fJ rmation with hislological examination, chemical qualitative and quantilative tcsts' Lung bi이ls ies were dOlle in conventional Iilethod 5 ) under general endotracheal anaesthesia.The site of incision was prefer1'ed right middle lobe and the lingula of left upper lobe.Making an incision of 15-20 C111 lcng th, the lung was reached through the I'Ifth or sixth intercostal space.The lung was inspected and palpated to determine suitable segmcnt for biopsy.The desired piece of lung was graspcd by a cJamp.A haewostat was applicd to the root of the picce of lung which was resected.The lung was sutured with alraumatic.: chromic ca 19ut suturcs along thc line of resec tion.A drain was inserted into the pleural cavity and connectcd to water-seal drainage.It was kept in placc until the lung was completely re-expandcd.Three cases of miner' s pneumoconiosis received openlun g biopsy to conflrm diagnosis.to clarify disease entily with diffcrcnt kinJ of dusls and cxistence of complica tcd tuberculosis at National l\ ledical Ccnter.Casc No , 1 52 ycar old male, f1'0111 age of 27 he 、、rorked at the • 낭 I:~ hi( 하.싸 l까 i) ' ' ~，디나 ( 3." ~f H) ' **mι.U(J，;diH)tungsten mine as a driller for 4 years and then ~s a s 니 pervisor in the same mine for 3 years.At th at time he had slight productive cough and slight dy spnt'a Chest X-ray was not examincd at that timc.4 years ago the ùyspnca and p1'oductive cougll became . 15,No. 2. ^pril , 1968 I ~('p r서 i n !~ of all abo,'c fll1dinf(s.pali r nt could bc dclcr-and stnnd:nrl iJicnrh'JI1 alc 、' a s " ilhin I1 ()I'113 1 li ll1 il llI incd 10 h, 1' c s i lη0S !S " ilh tub ~rCll l f) si s and non.spcciflcI.lI ng biopsy di sc loscd flbr ous " hnrl cd ~I rll ct urc \\' ith chronic [1 ncHt r1 n' 1 ir.is.Bio l、sy in thi s casc did pro、 c sili -fm c pi f.! mCn!il!ion in it.IIi slological fl l1dini!S \\'c rc l'() lll pal i cos is hul l1 0L l uh~r ': l1 l o sis hi stOp;1 lh o l o~i c illl)' ll1;1 inl y du c bl c " ilh si li cosis.No c、 id cllcc of G1 S(、 ati () n Il C< ' ()SIS '".ïl~ pr0bahl\' tù " ron l! indic;1 li on of bi o p ~)' 10 lh c lunp. in .~l' c n . (Fip,. 2-B) 、' o l\'(' d sp2 r~c ly. (l ' Jg. í • -ß.)fn lhi s casc \\'h o was slI spcclcd sifi cosis.cna l " ork CJ 's [ ' :l S(' J\() , 2; ~) y "끼 ' ,,1 '1 lll:1 k.C:-: Ill ina .、 isil "d 10 NlI IC: in Fch.:..-, Lh . 1 !) (ν、 \\'i lh cOll1 plainls of s hor l of hrcat h, chcsL ltμhi ncss.l ilrμ(' 31l1011n t of sputum " iLh co ugh.IIc work .C이 al Go lcl l11 inc for .1 yca rs , lhcl1 at co ."min c for iln .o thcr .1 ycars.ilnd th clI at tungstc n minc for fo ll 。、.\ïng ~ )'~a rs ullli l 10 ycars ago.Whcn hc rcLircd from thc JO b no si f! niri Cilnl X.r3Y pat hoJ ogy lVil S noticed ;) )'cars ;\.i.!o rc> pi ra tory s)'lI1ploll1s occurcd, and hc was di;1gno>cci "i Jicosis ancl puJ l11 0nary tubcrclI losis, th cn lrC: lI ru lr.nt S!'u t: Uil1 1lis f.;(' 11crJ I conclition \V as IXJor 'vith llnclcr.;lO!lr i,hl 11 c!t t ::! nc! chro nica Jly iJl ilpp:.:aran: e. T ongllc WilS <:0 、 c l'ed \\'i t. h whil is h coa t.Whcczi ng sounds wcrc hcard ' 1 11 _.' -' .-' "' .... ' -("' ."H''1I'O-.c.,jl' -ι ιiλι -"._._ 一' --'-' .~. ~ ..... ' _..' -61 -1:; I ~I 괜 극 11'|끼， I! I y ll。 영 IT p， -õ μ μ. 1 ~y:q까 l허 :~tI ττ:) (~f，l l감 þ 겁
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