원저

알레르기성 비염의 임상적 고찰

이화성1, 장경희1, 박용수1, 윤희로1
Wha Sung Lee1, Kyung Hee Chang1, Yong Soo Park1, He Ro Yoon1
Author Information & Copyright
1가톨릭대학 의학과 이비인후과학 교실
1Department of Otolaryngology, Catholic University Medical College

© Copyright 1991 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

Abstract

Allergic rhinitis is an inflammatory disorder of the nasal mucosa initiated by an Ig Emediated hypersensitivity. There has been a trend to increase in the number of allergic rhinitis patients and many studies have been performed recently.

Allergic study was performed with 303 cases of allergic patients at allergic clinic of Our Lady of Mercy Hospital from Jan. 1987 to Mar. 1991 and following results were obtained.

  1. Among 291 patients, male and female ratio showed 1.4 : 1,and age distribution showed predilection for age of 11 to 20 with cases (24.1%).

  2. Family history for other allergic diseases was 26.1% of allergic rhinitis.

  3. Other associated allergic diseases were 54.8% and the most common disease was allergic skin disease.

  4. Finding of PNS X-ray was abnormal in 35.1%.

  5. Allergic symptoms sustained throughout the year in 44.1, and seasonal predominance was observed in 55.9%. Seasonal highest incidence was in winter, and the lowest was spring.

  6. In nasal eosinophil smear, increased eosinophil was observed in 85.3% and blood eosinophilia was observed in 32.4%.

  7. The estimation of total serum IgE for allergic rhinitis (299 patients) was 398.9 IU/ml.

  8. Positive response for allergic skin test was 53.5%.

  9. Common positive allergens were D.farinae(50.5%),D.pteronyssinus(46.8%),house dust (41.8%) and cat fur(35.5%).



37권 2호 Quiz 및 정답, 해설

정답 ③ ㄴ,ㄹ

ㄱ. 갑상선 고주파는 전극 주변에 고주파 전류가 흐르면서 조직내 이온들을 빠르게 진동시키고 
이렇게 발생한 마찰열(friction heat)을 통해 섭씨 60~100도씨의 열을 발생시켜 조직의 응고 괴사를 유도한다.

ㄴ. 생리식염수는 Na+,Cl-를 포함하여 전기전도성이 높아 5% DW 같은 비이온성 용액을 이용하는 것이 좋다.

ㄷ. 관련된 흔한 합병증은 통증, 혈종, 일시적 음성변화로 알려져 있다.

ㄹ. 갑상선 고주파절제술은 정상 갑상선조직을 최대한 보존하면서 양성결절의 부피감소를 유도하고, 
미세유두암의 완전 소실을 유도할 수 있는 치료이다.

 

* 당첨자 (5명)

권**    010-****-**85

고**    010-****-**75

서**    010-****-**72

이**    010-****-**61

장**    010-****-**64

 

응모해 주신 모든분들께 감사드립니다.

경품은 당첨자분들께 8.21(금)까지 개별 발송해 드리겠습니다.

 

임상이비인후과 편집위원회 


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