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PaO(2)-guided Low-dose Oxygen Therapy for Pneumatosis Cystoides Intestinalis to Prevent Acute Exacerbation of Interstitial Pneumonia

We herein report the first case of low-dose oxygen therapy for pneumatosis cystoides intestinalis (PCI) using PaO(2) as a therapeutic index to prevent acute exacerbation of interstitial pneumonia. An 86-year-old man was admitted to our hospital with abdominal distension. PCI was diagnosed by abdomin...

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Detalles Bibliográficos
Autores principales: Hamada, Noboru, Yamano, Takafumi, Tada, Yusaku, Ooue, Yasuhiro, Itano, Junko, Ishiga, Mitsunori, Tanaka, Hisaaki, Kimura, Goro, Tanimoto, Yasushi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8545635/
https://www.ncbi.nlm.nih.gov/pubmed/33840698
http://dx.doi.org/10.2169/internalmedicine.7064-21
Descripción
Sumario:We herein report the first case of low-dose oxygen therapy for pneumatosis cystoides intestinalis (PCI) using PaO(2) as a therapeutic index to prevent acute exacerbation of interstitial pneumonia. An 86-year-old man was admitted to our hospital with abdominal distension. PCI was diagnosed by abdominal computed tomography. Low-dose oxygen therapy was started to avoid acute exacerbation of interstitial pneumonia. The oxygen dose was adjusted so that the PaO(2) value was approximately 100 mmHg. After seven days of treatment, the colon gas had disappeared, and no acute exacerbation of interstitial pneumonia was observed. A PaO(2) value around 100 mmHg is effective for PCI without inducing acute exacerbation of interstitial pneumonia.