|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
無断転載禁止 |
運動負荷心肺機能検査 |
|
|
|
|
|
|
[肺機能検査] |
|
|
|
|
|
|
VC |
1.12 |
(L) |
CV |
0.14 |
(%) |
|
|
MVV: |
35.7 |
|
|
|
|
%VC |
50.1 |
(%) |
dN2 |
5.70 |
(%) |
|
|
THR: |
151 |
|
|
FVC |
1.03 |
(L) |
TLC |
1.0 |
(L) |
|
|
|
%FVC |
46.0 |
(%) |
RV/TLC |
1.95 |
(%) |
|
|
|
FEV1.0 |
1.02 |
(L) |
DLCO |
1.45 |
|
|
|
|
%FEV1 |
54.4 |
(%) |
%DLCO |
9.2 |
(%) |
|
|
|
FEV1.0% |
99.0 |
(%) |
DLCO/VA |
1.136 |
|
|
|
|
FEV1/VCp |
45.6 |
(%) |
Vtg |
|
|
|
|
|
IC |
0.81 |
(%) |
FRC |
|
|
|
|
|
|
|
【O2(+)(30%)】 |
|
|
[心肺機能検査] |
|
|
protocol: |
m-Toneyama2 |
|
Watt |
|
運動時間: |
7分1秒 |
|
|
中止理由: |
息切れ |
|
|
|
|
|
|
|
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 |
1 |
2 |
3 |
4 |
5 |
|
|
|
|
|
|
|
|
|
|
|
|
8 |
|
|
|
f |
|
27 |
33 |
37 |
43 |
45 |
|
|
|
|
|
|
|
|
|
|
|
|
46 |
(/min) |
|
|
VT |
|
468 |
565 |
620 |
692 |
680 |
|
|
|
|
|
|
|
|
638 |
(ml) |
|
|
VE |
|
12.7 |
18.4 |
22.8 |
29.2 |
30.5 |
|
|
|
|
|
|
|
|
28.5 |
(L/min) |
|
|
VO2 |
|
258 |
179 |
627 |
895 |
983 |
|
|
|
|
|
|
|
|
849 |
(ml/min) |
|
|
VO2/W |
4.7 |
3.3 |
11.4 |
16.3 |
17.9 |
|
|
|
|
|
|
|
|
15.4 |
|
|
|
VCO2 |
|
268 |
200 |
592 |
834 |
967 |
|
|
|
|
|
|
|
|
917 |
(ml/min) |
|
|
R |
|
1.04 |
1.12 |
0.94 |
0.93 |
0.98 |
|
|
|
|
|
|
|
|
1.08 |
|
|
|
VE/VO2 |
49 |
103 |
36 |
33 |
31 |
|
|
|
|
|
|
|
|
34 |
|
|
|
VE/VCO2 |
47 |
92 |
39 |
35 |
32 |
|
|
|
|
|
|
|
|
31 |
|
|
|
VD/VT |
0.35 |
0.44 |
0.30 |
0.29 |
0.28 |
|
|
|
|
|
|
|
|
0.28 |
|
|
|
HR |
|
79 |
81 |
100 |
107 |
118 |
|
|
|
|
|
|
|
|
120 |
(/min) |
|
|
VO2/HR |
3.3 |
2.2 |
6.3 |
8.4 |
8.3 |
|
|
|
|
|
|
|
|
7.1 |
|
|
|
METS |
1.3 |
0.9 |
3.3 |
4.7 |
5.1 |
|
|
|
|
|
|
|
|
4.4 |
|
|
|
BP |
|
124/86 |
124/86 |
149/95 |
188/93 |
186/98 |
|
|
|
|
|
|
|
|
186/98 |
(mmHg) |
|
|
|
|
|
1.6km/h 80m |
|
185m |
2.1km/h 320m |
2.7km/h 495m |
3.5km/h 695m |
4.0km/h 965m |
5.4km/h 1300m |
|
|
|
|
|
|
0% |
|
5% |
|
10% |
|
12% |
|
14% |
|
16% |
|
|
|
|
|
[血液ガス検査] |
|
|
|
|
|
|
|
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 |
|
|
pH |
|
7.390 |
|
7.378 |
7.348 |
7.327 |
|
|
|
|
|
|
|
|
|
|
7.304 |
|
|
PaO2 |
|
130 |
124 |
108 |
102 |
|
|
|
|
|
|
|
|
|
|
80.7 |
(mmHg) |
|
|
PaCO2 |
36.4 |
37.2 |
40.1 |
41.6 |
|
|
|
|
|
|
|
|
|
|
47.2 |
(mmHg) |
|
|
HCO3 |
|
21.5 |
21.4 |
21.4 |
21.2 |
|
|
|
|
|
|
|
|
|
|
22.7 |
(mm/L) |
|
|
BE |
|
-2.4 |
-2.8 |
-3.4 |
-4.1 |
|
|
|
|
|
|
|
|
|
|
-3.4 |
(mm/L) |
|
|
SAT |
|
98.8 |
98.7 |
98.1 |
97.5 |
|
|
|
|
|
|
|
|
|
|
95.1 |
(%) |
|
|
SpO2 |
|
100 |
100 |
100 |
100 |
98 |
|
|
|
|
|
|
|
|
|
|
98 |
(%) |
|
|
Lactate |
1.5 |
|
1.4 |
1.8 |
2.3 |
|
|
|
|
|
|
|
|
|
|
2.7 |
(mg/dl) |
|
|
NA |
|
0.71 |
0.72 |
0.89 |
1.18 |
|
|
|
|
|
|
|
|
|
|
2.26 |
(ng/ml) |
|
|
Ad |
|
0.06 |
0.06 |
0.08 |
0.08 |
|
|
|
|
|
|
|
|
|
|
0.15 |
(ng/ml) |
|
|
|
|
|
[コメント] |
|
|
|
1. |
ECG所見 VPB: なし SVPB:
なし その他:
− |
|
ST変化: なし 心電図判定: 陰性 |
|
|
|
|
2. |
peak VO2は予測値(1257.5ml/min)の 78.2%であり、運動能は − を示唆する。 |
|
|
|
|
3. |
運動中の換気当量(VE/VO2)は − であり、換気効率は − |
|
|
|
|
|
VEmax/MVV=79.8% 換気パターンは
− |
|
VEmax/VEpred=84.6%(VEpred 33.9 l/min) |
|
|
|
|
4. |
最大運動時のPaO2は80.7mmHgであり、低酸素血症(PaO2<60mmHg)は − |
|
|
|
|
|
PaO2slope=-8.34 |
|
PaCO2slope=1.83mmHg/100mlVO2 |
|
|
|
|
5. |
運動に伴い、HRは − 、O2pulse(VO2/HR)は − であり、心機能は − を示唆する。 |
|
|
|
|
|
HRmax/THR=79.5% |
|
|
|
|
6. |
AT(V-slope)= − ml/min |
|
AT(Lactate)= − ml/min |
|
NT= − ml/min |
|
|
|
|
7. |
運動制限因子は − |
|
|
|
|
|
|
|
|
|
|
|
|
<症例68-後> |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|