| Japanese |
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| Title | Regional Reverse Ventilation/Perfusion Mismatchを示した肺胞蛋白症の1例 |
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| Subtitle | 症例報告 |
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| Authors | 渡辺直行*,**, 井上登美夫**, 織内昇**, 舘野円**, 平野恒夫**, 冨吉勝美**, 遠藤啓吾**, 佐々木康人***, 稲垣護*, 道又秀夫*, 竹沢二郎* |
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| Authors(kana) | |
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| Organization | *群馬大学医学部第一内科, **核医学教室, ***東京大学医学部放射線科 |
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| Journal | 核医学 |
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| Volume | 28 |
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| Number | 11 |
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| Page | 1349-1352 |
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| Year/Month | 1991/11 |
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| Article | 報告 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」肺胞蛋白症の1例に81mKr-ガス肺換気, 99mTc-macroaggregated albumin肺血流single photon emission computed tomographyを施行し, 右肺下葉S10に換気の欠損を認めるにもかかわらず, 肺血流の欠損を認めない, いわゆる'regional reverse ventilation/perfusion mismatch'の所見を経験したので報告する. 「I. はじめに」肺胞蛋白症は1958年Rosenらによって初めて報告された疾患で, 病理学的には肺胞腔内にPAS陽性の蛋白様物質が貯留し, 病因論的には肺胞マクロファージおよび肺胞II型細胞のサーファクタントの分泌の障害ならびにクリアランスの障害が提起されている. |
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| Practice | 臨床医学：一般 |
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| Keywords | Pulmonary alveolar proteinosis, Single photon emission computed tomography (SPECT), Reverse Ventilation/Perfusion mismatch. |
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| English |
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| Title | Pulmonary Alveolar Proteinosis with Reverse Ventilation / Perfusion Mismatch ; A Case Report |
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| Authors | Naoyuki WATANABE*,**, Tomio INOUE*, Noboru ORIUCHI*, Madoka TATENO*, Tsuneo HIRANO*, Katsumi TOMIYOSHI*, Keigo ENDO*, Yasuhito SASAKI***, Mamoru INAGAKI**, Hideo MICHIMATA**, Jiro TAKEZAWA** |
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| Authors(kana) | |
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| Organization | *Department of Nuclear Medicine, **First Department of Internal Medicine, Gunma University School of Medicine, ***Department of Radiology, Faculty of Medicine, University of Tokyo |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 28 |
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| Number | 11 |
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| Page | 1349-1352 |
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| Year/Month | 1991/11 |
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| Article | Report |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary]Generally, non-ventilated segments are not perfused on lung scans (V/Q match). Now we report a very rare case with pulmonary alveolar proteinosis whose scintigraphy shows the decreased ventilation, but well perfused (reverse V/Q mismatch). |
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| Practice | Clinical medicine |
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| Keywords | Pulmonary alveolar proteinosis, Single photon emission computed tomography (SPECT), Reverse Ventilation/Perfusion mismatch. |
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