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A therapeutic trial to a case of alveolar proteinosis:successful treatment with frequent transbronchial liquid infusion Ryasuke Saeki 1 , Moriaki Nishina 1 , Kunikatu Endo 1 , Yoshizi Haneda 1 , Hideki Saito 2 1Sanyudo Hospital 22nd Dept. of Int. Med., Yamagata Univ. pp.171-177
Published Date 1984/2/15
DOI https://doi.org/10.11477/mf.1404204393
  • Abstract
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A pulmonary lavage has been believed to be a useful procedure for the treatment of alveolar pro-teinosis. However the pulmonary lavage raises some questions as follows. (1) Is it possible that the pul-monary lavage washes out really alveolar contents physically. (2) Is it true that the improvement of the patient is decided only by a mechanism of wash-ing out.

A 75-year-old man was admitted to our hospitalfor further examination of bilateral extensitive le-sion in a film of the chest. The patient had an ex-ploratory thoracotomy which revealed the alveolar proteinosis.

The patient was treated with a repeated infusion and suction of saline which contains Bromhexine hydrochloride. Lydocain through a bronchoscope or a bronchial intubation instead of a extensive pul-monary lavage and recovered with a remarkable reduction of a pulmonary shadow. Although they regard a extensive pulmonary lavage as necessary for the treatment of pulmonary alveolar proteinosis at present, we think that the repeated infusion into alveoli and alveolar stimuli are mandatory.


Copyright © 1984, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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