뇌병변 환자에서 흡인성 폐렴 진단을 위한 Salivagram의 유용성

• 영문명: Usefulness of the Salivagram for the Diagnosis of Brain Lesions in Patients with Aspiration Pneumonia
• 발행기관: 대한핵의학기술학회
• 저자명: 오신현(Shin Hyun Oh) 최영숙(Yung Sook Choi) 노동욱(Dong Wook Ro) 남궁혁(Hyuk Nam-Koong) 김재삼(Jae Sam Kim) 이창호(Chang Ho Leee)
• 간행물 정보: 『핵의학기술』Vol.17 No.1, 48~52쪽, 전체 5쪽
• 주제분류: 의약학 > 방사선과학
• 파일형태: PDF
• 발행일자: 2013.04.30

영문 초록

Purpose: Bed, living a long time is required in adult patients with brain lesions such as stroke, traumatic brain injury, and Parkinson's disease, causing pneumonia and respiratory diseases may be due to aspiration of food or saliva. In patients with recurrent pneumonia or pulmonary symptoms, there is a need to determine the possibility of pulmonary aspiration due to aspiration of saliva. Materials and Methods: Saliva due to aspiration pneumonia diagnosis in patients with brain lesions request for inspection to the Department of Nuclear Medicine, 10 patients (male 6, female 4) were included in this study. Patients were fasted before the test, ⁹⁹ᵐTc₀₄ 185 MBq (5 mCi) of less than 1 mL of solution was administered in the oral cavity. Administration and 20 minutes of dynamic imaging acquisition, and immediately after that the static images were acquired. Delayed scan after 2-4 hours if necessary. Results: Positivity rate of all 10 patients was 60%. In 4 patients showed positive reactions after the administration of oral cavity in a 20-minute dynamic imaging were able to confirm whether the aspiration. In the remaining 2 patients, four hours of additional delay tests were able to confirm whether the aspiration. Conclusion: Does not require changes in patient posture compared to the other checks that can be diagnosed with aspiration pneumonia. A simple test and takes less time. Therefore be useful in providing information for the diagnosis and treatment modality.

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실험 재료 및 방법

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키워드

⁹⁹ᵐTc₀₄ Aspiration Pneumonia Salivagram