Lung Function Review: Asbestos, Pleura and DLCO | Part 2 | 胸腔 | OET Music

Dr Allison Lu · Pip & Barnaby · Medical English

本頁提供本曲完整英文歌詞與影片搭配的繁中醫學提示。歌詞保留原演唱文字；遇到過度簡化或舊門檻，請搭配下方提示與原始資料閱讀。這是概念學習材料，不替代個別醫療評估。

Lyrics · 完整歌詞

The central distinctions can be recalled as follows.

All that asbestos bodies prove is past exposure;
mesothelioma is diagnosed on thoracoscopic tissue, not on counted fibres.
Is the post-bronchodilator ratio below 0.70?
Then the defect is obstructive,
and restriction needs a total lung capacity below 80 per cent.
On the DLCO the localisation turns: low with obstruction means emphysema,
low with restriction means fibrosis,
normal with restriction means chest wall or muscle.
Lung cancers announce their origin by position,
peripheral adenocarcinoma carrying EGFR and central squamous tumours raising calcium through PTHrP.


All that asbestos bodies prove is past exposure;
mesothelioma is diagnosed on thoracoscopic tissue, not on counted fibres.
Is the post-bronchodilator ratio below 0.70?
Then the defect is obstructive,
and restriction needs a total lung capacity below 80 per cent.
On the DLCO the localisation turns: low with obstruction means emphysema,
low with restriction means fibrosis,
normal with restriction means chest wall or muscle.
Lung cancers announce their origin by position,
peripheral adenocarcinoma carrying EGFR and central squamous tumours raising calcium through PTHrP.

Medical Notes · 醫學學習提示

  1. 以三個面向複習：暴露、肺功能、腫瘤特徵
  2. 石綿小體提示暴露，不能單獨診斷間皮瘤
  3. 間皮瘤須以組織及免疫病理確診
  4. GOLD：擴張後 FEV1/FVC <0.70；結合病史
  5. 通用氣流受限判讀亦考慮正常下限
  6. 限制型以 TLC <正常下限確認；非一律低於 80%
  7. 阻塞合併低 DLCO 可支持肺氣腫，並非唯一原因
  8. 限制型合併低 DLCO 可支持纖維化的鑑別
  9. 正常 DLCO 時考慮肺外原因，仍需整體判讀
  10. 位置是線索，不能單獨判定肺癌亞型
  11. 腺癌不一定有 EGFR 變異；部分鱗癌以 PTHrP 致高血鈣

References