本邦における小児の在宅酸素療法の現状

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  • The present state of home oxygen therapy in children

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We investigated the present state of home oxygen therapy (H.O.T.) in children by questionnaires to the pediatric department of universities and hospitals participated in Japanese Society of Pediatric Pulmonology. Total number of cases were 106, consisting of 63 males and 43 females. The average age of the cases receiving H.O.T. was 5.2 years of age, 67. 9% of these cases was under 5 years of age. Diagnosis and the number of cases were following ; respiratory diseases 61 cases (57.5%), cardiovascular diseases 35 cases (33.0%), multiple anomaly and neuro-muscular diseases 12 cases (11.3%). The value of arterial blood gases under room air were following when H.O.T. was begun; Pao2 48.5±15.0 mmHg, Paco2 46.3±12.5 mmHg (n=59), Oxygen delivary system was consisted of oxygen concentrator (96 cases, 90.8%) and oxygen cylinder (13 cases, 12.3%). Concerning for prognosis, 18 of 106 cases died, 30 cases weaned from home oxygen.<BR>Based on these result, characteristics of H.O.T. in children were that the most of underlying diseases was characteristic of child, many cases were younger children and weaned from home oxygen.

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