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無断転載禁止 |
運動負荷心肺機能検査 |
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[肺機能検査] |
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VC |
1.10 |
(L) |
CV |
(%) |
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MVV: |
26.6 |
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%VC |
55.3 |
(%) |
dN2 |
(%) |
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THR: |
147 |
|
|
FVC |
0.99 |
(L) |
TLC |
(L) |
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%FVC |
49.8 |
(%) |
RV/TLC |
(%) |
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|
FEV1.0 |
0.76 |
(L) |
DLCO |
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%FEV1 |
45.8 |
(%) |
%DLCO |
(%) |
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FEV1.0% |
76.8 |
(%) |
DLCO/VA |
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FEV1/VCp |
38.2 |
(%) |
Vtg |
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IC |
0.81 |
(%) |
FRC |
|
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【O2(-)(21%)】 |
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[心肺機能検査] |
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protocol: |
m-Toneyama |
|
Watt |
|
運動時間: |
6分47秒 |
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中止理由: |
息切れ |
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安静時 |
立位時 |
1分後 |
3分後 |
6分後 |
9分後 |
12分後 |
15分後 |
18分後 |
終了時 |
|
Borg
Scale |
0 |
0 |
0.5 |
2 |
4 |
6 |
7 |
8 |
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9 |
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f |
|
31 |
25 |
36 |
53 |
43 |
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39 |
(/min) |
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VT |
|
412 |
469 |
590 |
537 |
597 |
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|
643 |
(ml) |
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VE |
|
12.3 |
11.8 |
21.0 |
28.0 |
25.4 |
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24.5 |
(L/min) |
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VO2 |
|
241 |
242 |
532 |
643 |
676 |
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642 |
(ml/min) |
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VO2/W |
5.7 |
5.8 |
12.7 |
15.3 |
16.1 |
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15.3 |
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VCO2 |
|
262 |
255 |
530 |
692 |
663 |
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675 |
(ml/min) |
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R |
|
1.09 |
1.05 |
1.00 |
1.08 |
0.98 |
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1.05 |
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VE/VO2 |
51 |
49 |
39 |
44 |
38 |
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38 |
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VE/VCO2 |
47 |
46 |
40 |
40 |
38 |
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36 |
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VD/VT |
0.33 |
0.34 |
0.31 |
0.25 |
0.30 |
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0.28 |
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HR |
|
85 |
82 |
99 |
101 |
101 |
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102 |
(/min) |
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VO2/HR |
2.8 |
3.0 |
5.4 |
6.4 |
6.7 |
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6.3 |
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METS |
1.6 |
1.6 |
3.6 |
4.4 |
4.6 |
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4.4 |
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BP |
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150/77 |
139/78 |
146/82 |
143/76 |
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146/73 |
(mmHg) |
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|
1.0km/h 17m |
|
50m |
1.6km/h
130m |
|
1.6km/h
210m |
|
2.1km/h
315m |
|
2.7km/h
450m |
|
3.5km/h
625m |
|
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0% |
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0% |
|
10% |
|
10% |
|
10% |
|
12% |
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[血液ガス検査] |
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安静時 |
立位時 |
1分後 |
3分後 |
6分後 |
9分後 |
12分後 |
15分後 |
18分後 |
終了時 |
|
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pH |
|
7.375 |
|
7.378 |
7.384 |
7.376 |
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7.375 |
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PaO2 |
|
76.5 |
69.0 |
71.4 |
75.0 |
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64.2 |
(mmHg) |
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PaCO2 |
47.7 |
45.7 |
47.1 |
47.1 |
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47.6 |
(mmHg) |
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|
HCO3 |
|
27.2 |
26.3 |
27.5 |
27.0 |
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27.2 |
(mm/L) |
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|
BE |
|
2.0 |
1.4 |
2.5 |
1.9 |
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2.1 |
(mm/L) |
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SAT |
|
96.0 |
94.6 |
95.1 |
95.7 |
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93.3 |
(%) |
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SpO2 |
|
96 |
97 |
96 |
97 |
95 |
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95 |
(%) |
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Lactate |
0.9 |
|
0.9 |
1.3 |
1.4 |
|
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1.3 |
(mg/dl) |
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|
NA |
|
0.684 |
1.042 |
1.159 |
1.162 |
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|
1.168 |
(ng/ml) |
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|
Ad |
|
0.087 |
0.116 |
0.097 |
0.079 |
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|
0.079 |
(ng/ml) |
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[コメント] |
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1. |
ECG所見 VPB: なし SVPB:
なし その他:
− |
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ST変化: なし 心電図判定: − |
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2. |
peak VO2は予測値(946ml/min)の 71.4%であり、運動能は − を示唆する。 |
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3. |
運動中の換気当量(VE/VO2)は −
であり、換気効率は − |
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VEmax/MVV=92.1% 換気パターンは
− |
|
VEmax/VEpred=117.4%(VEpred 20.9 l/min) |
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|
4. |
最大運動時のPaO2は
64.2mmHgであり、低酸素血症(PaO2<60mmHg)は呈さない。 |
predmaxVO2 は 913ml/min(Jones) |
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PaO2slope=-3.07 |
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PaCO2slope=-0.02mmHg/100mlVO2 |
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|
5. |
運動に伴い、HRは − 、O2pulse(VO2/HR)は − であり、心機能は − を示唆する。 |
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HRmax/THR=69.4% |
|
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|
|
6. |
AT(V-slope)= − ml/min |
|
AT(Lactate)= − ml/min |
|
NT= − ml/min |
|
|
|
|
7. |
運動制限因子は − |
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<症例67-前> |
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