Clinical Features of Patients Receiving Home Oxygen Therapy and Their Optimum Chest Physical Therapy.
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概要
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We examined clinical features of 246 patients who had received Home Oxygen Therapy (HOT) during the period from 1984 to the end of 1991 in our hospital. Their clinical characteristics consisted of; 1) basic diseases frequently observed were pulmonary emphysema, tuberculous sequela, diffuse panmicro-bronchitis, lung cancer, and fibroid lung, 2) most of patients were the aged, 3) the patients showed remarkably lower lung function with hypoxemia and severe dyspnea, 4) they were vulnerable to infection, and 5) their prognosis highly depended on basic disease. Chest physical therapy for the patients with relatively longer prognosis like those with pulmonary emphysema, tuberculous sequela, and diffuse panmicrobronchitis should be performed with the aim of preventing respiratory infection and improving breathing function. While, for the patients with poor prognosis like those with lung cancer and fibroid lung, primary purposes of the therapy should be to maintain their total physical conditions and to control dyspnea.
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