Noninvasive Ventilation in Patients with Acute Exacerbation of Pulmonary Tuberculosis Sequelae
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概要
- 論文の詳細を見る
Background The efficacy of noninvasive ventilation (NIV) in acute exacerbation of pulmonary tuberculosis sequelae has not been fully studied. Methods We retrospectively reviewed 58 patients with acute exacerbation of pulmonary tuberculosis sequelae who were admitted to Tosei General Hospital and treated with NIV over a 9-year period. Results The 58 patients (mean age: 76.2±8.0) consisted of 39 males and 19 females. Arterial blood gas analysis on admission showed a mean pH of 7.28±0.07 and a mean PaCO2 of 72.6±14.2 mmHg. After the start of NIV, significant improvement occurred in pH, to 7.32±0.06 after 2 h and 7.36±0.06 after 24 h, and in PaCO2, to 66.4±11.2 mmHg after 2 h and 61.6±11.3 mmHg after 24 h. The success rate in weaning from NIV was 86.2%. There were statistically significant differences in pH, body mass index (BMI), blood leukocyte count and serum potassium between patients successfully and unsuccessfully weaned from NIV. Conclusion We conclude that patients with acute exacerbation of pulmonary tuberculosis sequelae can be treated successfully with NIV. Lower pH, BMI, and serum potassium, and higher blood leukocyte count are related to NIV failure.
- 社団法人 日本内科学会の論文
著者
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Kondoh Yasuhiro
Department Of Respiratory Medicine And Allergy Tosei General Hospital
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Nishiyama Osamu
Department Of Cardiology Iwate Medical University
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Taniguchi Hiroyuki
Department Of Electronic Engineering Nihon University
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Hasegawa Yoshinori
Department Of Biological Mechanisms And Functions Graduate School Of Bioagricultural Sciences Nagoya
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Kato Keisuke
Department Of Biological Sciences Graduate School Of Science The University Of Tokyo
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Kataoka Kensuke
Department Of Applied Chemistry School Of Engineering Tokai University
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Kimura Tomoki
Department Of Radiation Oncology Hiroshima University Graduate School Of Biomedical Sciences
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Aso Hiromichi
Department of Respiratory Medicine, Nagoya University Graduate School of Medicine
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Kimura Tomoki
Department of Respiratory Medicine and Allergy, Tosei General Hospital
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