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[慢性阻塞性疾病合并中度低氧血症患者家庭氧疗附加合格性测试的价值]

[Value of additional qualifying tests for home oxygen therapy in patients with chronic obstructive diseases and moderate hypoxemia].

作者信息

Sliwiński P, Hawryłkiewicz I, Cieślicki J, Tobiasz M, Zieliński J

机构信息

Kliniki Chorób Płuc Instytutu Gruźlicy i Chorób Płuc, Warszawie.

出版信息

Pol Tyg Lek. 1993;48(7-8):154-6.

PMID:8415256
Abstract

A value of pulmonary artery catheterization, exercise test and blood oxygenation at sleep was assessed. Such tests are considered as the additional possibility for classifying the patients with chronic obstructive disease, with moderate hypoxia, to the treatment with oxygen at home. Hemodynamic tests have shown pulmonary hypertension in 73% of patients. Clinical evaluation of the cor pulmonale seemed satisfactory. A decrease in arterial blood oxygenation during exercise below 88%, being a border value classifying to the treatment with oxygen at home, was found in 82% of patients. Marked decrease in blood oxygenation at sleep has been characteristic feature of all patients. Exercise test and oximetry at night may also valuable for classifying the patients to the treatment with oxygen under home conditions.

摘要

对肺动脉导管插入术、运动试验和睡眠时血液氧合作用的值进行了评估。此类测试被视为对患有慢性阻塞性疾病且有中度缺氧的患者进行家庭氧疗分类的额外可能性。血流动力学测试显示73%的患者有肺动脉高压。肺心病的临床评估似乎令人满意。82%的患者在运动期间动脉血氧合作用下降至低于88%(这是进行家庭氧疗分类的临界值)。睡眠时血液氧合作用明显下降是所有患者的特征。运动试验和夜间血氧测定对于在家中条件下对患者进行氧疗分类也可能有价值。

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