[Sequential administration of a reduced dose of almitrine to patients with chronic obstructive bronchopneumopathies. A controlled multicenter study].

Abstract:

:Recent multi-centre studies have shown that high doses of Almitrine (100-200 mg per day), lead to a significant improvement in the hypoxaemia of patients presenting with chronic airflow obstruction, but that a high blood level (greater than 500 ng/ml) is often seen after 1 year, sometimes associated with signs of peripheral neuropathy. In order to maintain Almitrine blood levels in the range 200-300 ng/ml we have used an intermittent regime (with a "window" of 1 month every 3 months) and a dose limited to 100 mg per day. 102 hypoxic patients with chronic airflow obstruction, who were in a stable state were included. 65 patients were in the Almitrine group (A) and 37 patients in the placebo group (P). The treatment lasted for 1 year. In addition there was a 3 monthly follow up with arterial blood gases and spirometry, a clinical neurological examination and also electrophysiology, initially and after 6 and 12 months. 43% of patients in group A and 32% of patients in group P, left the study, most often due to poor cooperation, but sometimes as a result of side effects. After 12 months the PaO2 rose significantly in group A from 59.1 +/- 0.7 to 65.8 +/- 1.6 mmHg (p less than 0.001) whilst it was not changed in group P. The PaCO2 did not change in either group. On the other hand there was a significant fall in the subgroup of patients with hypercapnia in group A (p less than 0.001). The outcome of the neurological and electrophysiological assessments did not show any significant difference between the two groups.(ABSTRACT TRUNCATED AT 250 WORDS)

journal_name

Rev Mal Respir

authors

Weitzenblum E,Arnaud F,Bignon J,Boutin C,Brune J,Castaing Y,Courty G,Derenne J,Duroux P,Fréour P

subject

Has Abstract,Author List Incomplete

pub_date

1992-01-01 00:00:00

pages

455-63

issue

4

eissn

0761-8425

issn

1776-2588

journal_volume

9

pub_type

临床试验,杂志文章,多中心研究,随机对照试验
  • [Off-line exhaled nitric oxide measurement in children].

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  • [Improved prognosis in non small cell lung cancer--myth or reality?].

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    pub_type: 杂志文章,评审

    doi:

    authors: Milleron B,Lavolé A,Gounant V

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    pub_type: 杂志文章

    doi:

    authors: Lopez I,Dubar V,Aerts C,Lhermitte M,Voisin C,Wallaert B

    更新日期:1991-01-01 00:00:00

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    pub_type: 杂志文章

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    authors: Fournier C,Boutemy M,Ramon PP,Bouchind'homme B,Delattre C,Douadi Y,Dayen C

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  • [Treatment with clarithromycin of 173 HIV+ patients with disseminated Mycobacterium avium intracellulare infection].

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    pub_type: 临床试验,杂志文章,多中心研究

    doi:

    authors: Dautzenberg B,Saint-Marc T,Durant J,Reynes J,Meyohas MC,Legrand MF,Truffot C,Chauvin JP

    更新日期:1994-01-01 00:00:00

  • [Broncho-alveolar lavage. From technical aspects to standards of interpretation].

    abstract::Broncho-alveolar lavage is a simple investigation to carry out and enables the gathering of biological information such as inflammatory and immuno-competent cells, tumour cells, microorganisms as well as mineral particles which are found in the biological milieux present in the distal air spaces. The performance of LB...

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    doi:

    authors: Wallaert B,De Vuyst P,Israel-Biet D

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  • [From allergic rhinitis to sinus diseases (sinusitis/nasal polyps): epidemiologic and experimental links].

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    journal_title:Revue des maladies respiratoires

    pub_type: 杂志文章,评审

    doi:

    authors: Demoly P,Bencherioua AM,Crampette L,Dhivert-Donnadieu H,Godard P,Michel FB

    更新日期:2000-11-01 00:00:00

  • [Bronchoscopy in the diagnosis of complicated pulmonary hydatid cyst in children].

    abstract::The diagnosis of pulmonary hydatid cysts in children is generally easy and does not require endoscopic exploration, because the radiological aspects of an intact or a complicated cyst are most often suggestive. There are, nevertheless, some cases of pulmonary hydatids where the cyst is partially evacuated and then inf...

    journal_title:Revue des maladies respiratoires

    pub_type: 杂志文章

    doi:

    authors: Henry P,Khalfallah A,Lakhal A,Hafsa K,Karoui H

    更新日期:1984-01-01 00:00:00

  • [Establishment of a therapeutic alliance in smoking cessation within the framework of behavioral and cognitive therapies].

    abstract::The therapeutic alliance that is created within the framework of behavioural and cognitive therapy is called the collaborative relationship. The active participation of the patient is fundamental. This initial stage is indispensible but insufficient for treatment. As a first step we have developed the notion of a coll...

    journal_title:Revue des maladies respiratoires

    pub_type: 杂志文章

    doi:10.1016/s0761-8425(09)72593-8

    authors: Guichenez P

    更新日期:2009-03-01 00:00:00

  • [What is the therapeutic response to corticosteroid in smokers with asthma?].

    abstract::Inhaled corticosteroid is the first choice antiinflammatory therapy for chronic asthma. International guidelines are based upon data obtained in the non-smokers with asthma. The objective of this review is to highlight the interaction between cigarette smoking and metabolism of steroids and to consider the consequence...

    journal_title:Revue des maladies respiratoires

    pub_type: 杂志文章,评审

    doi:10.1016/s0761-8425(08)71516-x

    authors: Girodet PO

    更新日期:2008-02-01 00:00:00

  • [Epidermoid bronchial cancer induced by radiotherapy].

    abstract::The occurrence is reported of a bronchial epidermoid cancer appearing 13 years after irradiation for an intra-thoracic paraganglioma. Four criteria are required when considering the carcinogenic effects of radiation: a documented history or irradiation, a latent period of 8 to 20 years, histological evidence of the de...

    journal_title:Revue des maladies respiratoires

    pub_type: 杂志文章

    doi:

    authors: Courty G,Laylavoix F,Martre P,Pierchon MS

    更新日期:1986-01-01 00:00:00

  • [Osmolarity of solutions used in nebulization].

    abstract::Inhaled medications are widely used in patients suffering from bronchial diseases. Beside their pharmacological properties, nebulised solutions have physico-chemical characteristics that can alter bronchial reactivity. Non-isotonic solutions can induce a bronchial hyperresponsiveness and/or a severe bronchonconstricti...

    journal_title:Revue des maladies respiratoires

    pub_type: 杂志文章

    doi:

    authors: Portel L,Tunon de Lara JM,Vernejoux JM,Weiss I,Taytard A

    更新日期:1998-04-01 00:00:00

  • [Cigarette smoking and sleep disturbance].

    abstract:INTRODUCTION:Sleep disturbances may make smoking cessation more difficult and relapses more frequent. STATE OF THE ART:Nicotine increases vigilance and decreases sleeping time. Cigarette smoking is associated both with difficulty initiating and maintaining sleep. The disruption is associated with arousals on EEG recor...

    journal_title:Revue des maladies respiratoires

    pub_type: 杂志文章,评审

    doi:

    authors: Underner M,Paquereau J,Meurice JC

    更新日期:2006-06-01 00:00:00

  • [Euthanasia 2002-2014: The situation in Belgium].

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    pub_type: 历史文章,杂志文章,评审

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    authors: Lossignol D

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    pub_type: 杂志文章

    doi:10.1016/s0761-8425(09)70134-2

    authors: Margery J,Lefebvre N,Dot JM,Gervaise A,Andriamanantena D,Dieudonné M,Girodeau A

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  • [Surgical treatment of pulmonary metastases of colorectal cancers. 8-year survival and main prognostic factors].

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    journal_title:Revue des maladies respiratoires

    pub_type: 杂志文章

    doi:

    authors: Baron O,Hamy A,Roussel JC,Galetta D,al Habash O,Duveau D,Despins P,de Lajartre AY,Michaud JL

    更新日期:1999-11-01 00:00:00

  • [Screening for bronchial carcinoma].

    abstract::Bronchial carcinoma is the principal cause of cancer death. Unlike cancers of the breast and colon that are already the subject of screening programmes, proof has not yet been provided that screening for bronchial carcinoma is of value in terms of reduction in mortality. Technological improvements and the advent of lo...

    journal_title:Revue des maladies respiratoires

    pub_type: 杂志文章

    doi:

    authors: Moro-Sibilot D,Milleron B,Groupe Dépiscan.

    更新日期:2002-12-01 00:00:00

  • Assessment of imaging techniques for evaluating small-airway disease in asthma.

    abstract::The imaging techniques used to investigate patients with asthma and to assess the effects of asthma treatments include computed tomography (CT), helium magnetic resonance imaging (MRI), single-photon emission computed tomography (SPECT), and positron-emission tomography (PET). Only MRI does not involve radiation expos...

    journal_title:Revue des maladies respiratoires

    pub_type: 杂志文章,评审

    doi:10.1016/j.rmr.2011.05.001

    authors: Laurent F,Tunon de Lara M

    更新日期:2011-06-01 00:00:00

  • [How can intrathoracic lymphatic involvement be assessed using mediastinoscopy in primary bronchial cancer?].

    abstract::In order to achieve mediastinal lymph node staging in bronchial cancer, axial mediastinoscopy (combined with left anterior mediastinoscopy for cancers of the left upper lobe) is by far the most efficient and the most reliable technique. Since mediastinoscopy has been part of the investigations that can be made before ...

    journal_title:Revue des maladies respiratoires

    pub_type: 杂志文章,评审

    doi:

    authors: Levasseur P

    更新日期:1992-01-01 00:00:00

  • [Tumors of the phrenic nerve].

    abstract::A schwannoma of the phrenic nerve is a rare disorder which presents as a tumour of the anterior mediastinum. It is seen in adults and is usually latent. We report two cases in elderly subjects in whom the phrenic nerve tumour had achieved a significant size. One of these schwannomas had degenerated into sarcomatous ch...

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    pub_type: 杂志文章

    doi:

    authors: Le Pimpec-Barthes F,Martinod E,Riquet M,Saint-Blancard P,Jancovici R

    更新日期:1998-02-01 00:00:00

  • [Exposure to asbestos. Role of thoracic imagery in screening and follow-up].

    abstract::Chest radiograph and computed tomography are the most appropriate imaging tools for detecting asbestos-related pleural and parenchymal disease due to their availability and performances. The cost and irradiation delivery of conventional chest X-rays are limited. Technical parameters and reading should be standardized....

    journal_title:Revue des maladies respiratoires

    pub_type: 杂志文章,评审

    doi:

    authors: Laurent F,Tunon de Lara M

    更新日期:1999-12-01 00:00:00

  • [Pleural empyema revealing osteopoikilosis].

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    pub_type: 杂志文章

    doi:10.1016/s0761-8425(09)73339-x

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    更新日期:2009-11-01 00:00:00

  • [PET-CT for evaluation of the solitary pulmonary nodule: an update].

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    pub_type: 杂志文章,评审

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    authors: Groheux D,Hindié E,Trédaniel J,Giraudet AL,Vaylet F,Berenger N,Moretti JL

    更新日期:2009-12-01 00:00:00

  • [Profiles of 939 patients with obstructive sleep apnea syndrome treated with continuous positive pressure].

    abstract::The aim of this study was to analyze the characteristics of patients on long-term continuous positive pressure therapy for obstructive sleep apnea in order to determine the efficacy, observance, tolerance, degree of patient satisfaction and patient quality of life using the Nottingham scale. A questionnaire was sent t...

    journal_title:Revue des maladies respiratoires

    pub_type: 杂志文章

    doi:

    authors: Sailly JC,Meslier N,Grillier-Lanoir V,Rolland N,Henderyck C,Lebrun T,Racineux JL

    更新日期:1999-12-01 00:00:00

  • [Severe haemoptysis: indications for triage and admission to hospital or intensive care unit].

    abstract::Recognition of the criteria of severity and the early admission to a referral center play a critical role in the prognosis of severe haemoptysis. The therapeutic management should be undertaken urgently by providing general supportive care, i.e., optimization of oxygenation and haemodynamic stabilization to prevent re...

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    pub_type: 杂志文章,评审

    doi:10.1016/j.rmr.2010.10.006

    authors: Fartoukh M

    更新日期:2010-12-01 00:00:00

  • [Multiple basocellular epitheliomas of the back after repeated radiologic tests].

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    pub_type: 杂志文章

    doi:

    authors: Lulin J,Laidet B,Fur JL,Lezoraine C,Quere O,Rivoallan N

    更新日期:1990-01-01 00:00:00

  • [The VQ11, a short health-related quality of life questionnaire for routine practice in COPD patients].

    abstract:OBJECTIVE:The management of COPD aims to improve integrated indices such as health-related quality of life (HRQoL). Experts recommend repeated and methodical assessment of HRQoL, particularly by the use of questionnaires. Though these tools give pertinent information for groups of patients, they have limitations in des...

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  • [The place of bronchoalveolar lavage in the diagnosis of pneumonia in the immunocompromised patient].

    abstract:INTRODUCTION:Bronchoalveolar lavage (BAL) was previously considered as the standard diagnostic procedure to investigate pneumonia occurring in immunocompromised patients, and it is probably still widely used. However, the development of new microbiological diagnostic tools, applicable to samples obtained non-invasively...

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    pub_type: 杂志文章,评审

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  • [Allergen-derived peptide: A promising approach in asthma].

    abstract::Severe asthma required high dose of corticosteroids combined with biotherapies to control more or less asthma symptoms and lead to the decrease of patients' quality of life on long term. Recent studies show that hypoallergenic peptides derived from allergen can prevent airway hyperresponsiveness, decrease Th2 response...

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    pub_type: 杂志文章,评审

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  • [Importance of the emotional dimension when providing information to patients with obstructive sleep apnea syndrome].

    abstract:INTRODUCTION:To promote adaptation to treatment with continuous positive airway pressure, an information document was developed for people starting their treatment with continuous positive airway pressure. METHODS:Seven patients with obstructive sleep apnea took part in a focus group. This allowed the identification b...

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    pub_type: 杂志文章

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