RT期刊文章SR电子T1家庭治疗儿童慢性呼吸衰竭:一项前瞻性研究JF欧洲呼吸杂志JO Eur Respir J FD欧洲呼吸学会SP 2062 OP 2066 VO 8 IS 12 A1 Fauroux, B A1 Sardet, a A1 Foret, D YR 1995 UL //www.qdcxjkg.com188bet官网地址/content/8/12/2062.abstract AB家庭治疗儿童慢性呼吸衰竭(CRF)正在增加。然而，儿童CRF的病因和家庭治疗的细节尚不清楚。本研究的目的是描述儿科人群中CRF的原因和患者在家里接受的治疗。我们调查了所有在1992年3月至1993年3月期间进入全国呼吸呼吸困难住所协会(ANTADIR)接受CRF家庭治疗的儿童(年龄<或= 18岁)。287名儿童(178名男孩，62%)在这一年开始CRF的家庭治疗。111例患者患有阻塞性呼吸道疾病:囊性纤维化(CF) (n = 24);支气管肺发育不良(BPD) (n = 79);176例限制性肺部疾病:神经肌肉疾病(n = 87);脊柱后凸(n = 21);肺纤维化(n = 6); cardiac disease (n = 14); stomatological disease (n = 10); other restrictive respiratory disease (n = 9); and 29 miscellaneous causes. One hundred and thirteen patients received oxygen therapy, with a mean daily use of 17.7 h (20 h.day-1 for BPD patients and 12.3 h.day-1 for CF patients). Oxygen was delivered by a concentrator in 88% of cases. One hundred and fifty eight children received mechanical ventilation (MV). Five children received nasal continuous positive airway pressure ventilation for sleep apnoea, four had pneumatic belt ventilation, and 12 had a tracheostomy without MV. Treatment was stopped in 21 children, because of death in nine and improvement in the other 12. Home treatment for children with CRF is well developed in France via the ANTADIR network. Causes of CRF in children are heterogeneous, with a relatively good prognosis.