POREDJENJE TRANSFER FAKTORA SA VENTILACIJKIM I OKSIMETRIJSKIM PARAMETRIMA PLUCNE FUNKCIJE KOD HRONICNE FORME EGZOGENOG ALERGIJSKOG BRONHIOLOALVEOLITISA

THE CORRELATION BETWEEN TRANSFER FACTOR AND VENTILATORY AS WELL OXIMETRIC PARAMETERS OF PULMONARY FUNCTION IN CHRONIC FORM OF EXTRINSIC ALLERGIC BRONHCHIOLOALVEOLITIS

Gaja Pozojevic

Sazetak:

Vise godina unazad pratimo dva bolesnika sa hronicnom formom egzogenog alergijskog bronhioloalveolitisa(EABA).Istovremeno vrsimo ispitivanje ventilacijke  funkcije pluca I to:krivulju protk-volumen,spirometriju,telesnu pletizmografiju,transfer faktor I parcijalne pritiske respiracijkih gasova u arterisjkoj krvi u miru I pod opterecenjem.Konstatujemo da popstoji korelacija izmedju koeficijenta transfera sa parcijalnim pritiskom kiseonika arterijske krvi u miru I opterecenju.Svaki metod  ima svoje prednosti:vadjenje arterijske krvio je nesumljivo objektivna metoda ali kada popstoji  nemogucnost fizickog opterecenja,kao sto je to  slucaj kod uznapredovale  forme fibroze pluca,komplementaran je metod transfer faktor.

Kljucne reci: Egzogeni alergijski bronhioloalveolitis,tgransfer faktor,gasne analize arterijske krvi.

Summary:

Two patients with chronic form of allergic bronchhioloalveolitis(EABA) have beenfolowed-up for several years.Several testings of the ventilatory lung function:a flow volume curve,spirometry,body plethysmography,transfer factor as wel as partial pressure of respiratory gases of arterial blood,both at rest and during exercise,have been conducted simultaneousli.We came  to the conclusion that there is a correlation between transfer factor and partial pressure of oxigen in the arterial blood whwn measured at rest and during exercise.Each of these two methods has its advantages:there is no doubdt that a bood sample gives more objective results,but if exercise testing is not feasible as it is in cases  where lung fibrosis has  considerably progressed,the transfer factor method is complemetary.

Key words:extrinsig allergic bronchioloalveolitis,transfer factor,arterial blood gas analysis.

Pneumon,1997;35(1-4):45-51.