Son Dönem Kronik Böbrek Yetmezliği Hastalarında Solunum Fonksiyon Testleri

Yıl 1995, Cilt: 1 Sayı: 2, 81 - 84, 06.11.1995

Kağan Üçok Hakkı Gökbel Mehdi Yeksan Mehmet Kara Süleyman Türk Lütfi Şimşek

Öz

Bu
çalışmanın amacı son dönem kronik böbrek yetmezliği hastalarında solunum
fonksiyonlarını saptamaktır. Otuziki son dönem böbrek yetmezliği hastasında (21
erkek, 11 kadın) solunum fonksiyonları tayin edildi. Hastalar en az 6 aydır
haftada 2-3 kez hemodiyalize giriyorlardı, hiçbirinin bilinen bir akciğer veya
göğüs duvarı hastalığı yoktu. Test sonuçları Crapo ve arkadaşları tarafından
geliştirilen formüllerden hesaplanan tahmini değerlerin yüzdesi olarak ifade
edildi.

Özellikle
DLCO, PEF, FEF%25-75 ve FEVİ değerleri düşük bulunmuştur. DLCO’daki azalma
muhtemelen renal anemiye bağlıdır. FEVİ, PEF ve FEF°/o25-75’deki azalma ise
anemiye ve genel zayıf lık haline bağlı solunum kaslarının güçsüzlüğünün sonucu
olabilir.

Anahtar Kelimeler

Hemodiyaliz, Son dönem böbrek yetmezliği, Solunum fonksiyonları

Pulmonary Function Tests in Patients with End-stage Renal Failure

Öz

The study aimed at investigating pulmonary
functions in patients
with end-stage renal failure. Pulmonary function tests (PFT) were evaluated on
thirty-tuuo patients with end-stage renal failure (21 male, 11 female).
Patients had been receiving hemodialysis 2-3 times in a week at least for 6
months. None was known to have lung or chest wall disease. PFT results were
expressed as percentage of predicted values which were calculated from the
formulas developed by Crapo and colleagues.

Particularly DLCO, flow rates (PEF, FEF25-75)
and FEVİ values were low. Decrease in DLCO values was probably due to renal
anemia. Decrease in flow rates and FEVİ values may be result of respiratory
muscle ıveakness due to anemia and general impairment.

Anahtar Kelimeler

Haemodialysis, End-stage renal failure, Pulmonary functions

Kaynakça

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