SAŽETAK

U radu su prikazani slučajevi sa dokazanim karcinomom u traheji i/ili glavnim bronhima bronhoskopijom. Odabrani su oni koji su prethodno, ambulantno, povodom dispneje lečeni medikamentozno u smislu astme ili HOBP-a. Na radiogramu grudnog koša nisu imali prepoznate infiltrativne senke. Svi su u Institut za plućne bolesti upućeni zbog pogoršanja astme ili HOBP-a. Radom smo želeli naglasiti značaj i komplek­snost dispneje kao simptoma mnogih plućnih i vanplućnih bolesti, te da ukažemo da ne znači svaka disp­neja i vizing samo hronične opstruktivne plućne bolesti, pogotovu ako se simptom prvi put javi u starijoj uzrastnoj kategoriji kod pušača i kada primenjivana bronhodilatatorna terapija ne dovodi do subjektivnog i spirometrijskog poboljšanja.

Ključne reči: dispneja, karcinom u glavnim bronhima

SUMMARY

The study included the patients with the diagnosis of lung cancer in the trachea and/or the main bronchi established on bronchoskopy, who initally received the out-patient medicamentous treatment for asthma or COPD. Their chest-X-ray finding was not presented by a noticeable infiltrative lesion. All the patients were admitted to the Institute for Pulmonary Diseases due to asthma or COPD exacerbation. The study intend­ed to point out the significance and complexity of dyspnea as a symptom of a variety of both intra- and extra- pulmonary disorders. Neither dyspnea nor wheezing are to eb exclusively associated with COPD, especially if these symptoms develop in older-aged smokers and do not respond to the applied bronchodi­latation treatment.

Key words: dyspnea, main bronchi lung cancer

Prim. ass. dr sc med. dr Biljana Zvezdin
Odeljenje za astmu, Klinika za urgentnu pulmologiju, Institut za plućne bolesti, Sremska Kamenica