원저

비알레르기에서 비유발반응검사의 진단 적 의의

김경래1, 고광민1, 박철원1, 김선곤1
Kyung Rae Kim1, Kwang Min Koh1, Chul Won Park1, Sun Kon Kim1
Author Information & Copyright
1한양대학교 의과대학 이비인후과학교실
1Department of Otolaryngology, College of Medicine,Hanyang University

© Copyright 1996 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

Various kinds of diagnostic procedures for allergic rhinitis are available, including careful history taking, physical examination, PNS x-ray, eosinophil in nasal secretion, blood eosinophil count, serum IgE level, skin test, nasal provocation test, RAST and MAST. Among these, careful history taking and skin test have important role in diagnosing the allergic rhinitis. To evaluate the diagnostic significance of nasal provocation test in allergic rhinitis, a clinical study was done in allergic rhinitis patients.

The results were as follows;

  1. In control group, provocation rate to positive skin allergen was none.

  2. House dust and mite revealed the highest provocation rate to positive skin allergen.

  3. In the group of positive nasal provocation test, eosinophil in nasal secretion and blood eosinophil count were markedly increased.

  4. The positive provocation rate was correlated with degree of positive skin reaction.

  5. The provocation reaction after hyposensitization was markedly reduced.

Keywords: Allergic rhinitis; Provocation test


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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