Tobiasz M, Sliwiński P, Górecka D, Gorzelak K, Zieliński J
Kliniki Chorób Płuc, Instytutu Gruźlicy, Warszawie.
Pneumonol Alergol Pol. 1996;64(9-10):568-76.
Between August 1986-July 1994 45 1 patients with chronic hypoxaemia were referred to us for evaluation. 315 of them (70%) were qualified for LTOT according to national guidelines. There were 189 pts with COPD (60%), 40 with late sequelae of pulmonary tuberculosis (TB), 21 with interstitial pulmonary fibrosis (IPF), 15 with bronchiectasis (BE), 15 with severe kyphoscoliosis (KS) and 35 with other disease leading to chronic respiratory failure. All patients received oxygen from an oxygen concentrator and have been regularly followed-up. The best survival rate in patients followed up for at least 3 years was observed in KS (68%) and COPD pts (50%). The worst survival was seen in BE (9%) and IPF (21%). 183 pts died during the follow-up and in 3 pts (1%) LTOT was withdrawn. The most frequent cause of death were either acute (58%) or chronic (21%) cardiorespiratory failure.
1986年8月至1994年7月期间,451例慢性低氧血症患者被转诊至我院进行评估。根据国家指南,其中315例(70%)符合长期氧疗(LTOT)标准。有189例慢性阻塞性肺疾病(COPD)患者(60%),40例肺结核(TB)晚期后遗症患者,21例间质性肺纤维化(IPF)患者,15例支气管扩张(BE)患者,15例严重脊柱后凸(KS)患者以及35例其他导致慢性呼吸衰竭的疾病患者。所有患者均使用制氧机吸氧,并接受定期随访。在随访至少3年的患者中,KS患者(68%)和COPD患者(50%)的生存率最高。BE患者(9%)和IPF患者(21%)的生存率最低。183例患者在随访期间死亡,3例患者(1%)停止了长期氧疗。最常见的死亡原因是急性(58%)或慢性(21%)心肺功能衰竭。