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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 |
1.12 |
(L) |
CV |
0.14 |
(%) |
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MVV: |
35.7 |
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%VC |
50.1 |
(%) |
dN2 |
5.7 |
(%) |
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THR: |
151 |
|
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FVC |
1.03 |
(L) |
TLC |
1.0 |
(L) |
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%FVC |
46.0 |
(%) |
RV/TLC |
1.95 |
(%) |
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FEV1.0 |
1.02 |
(L) |
DLCO |
1.45 |
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%FEV1 |
54.4 |
(%) |
%DLCO |
9.2 |
(%) |
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FEV1.0% |
99.0 |
(%) |
DLCO/VA |
1.136 |
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FEV1/VCp |
45.6 |
(%) |
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-Toneyama2 |
|
Watt |
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運動時間: |
4分50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 |
3 |
5 |
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5 |
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f |
|
34 |
30 |
44 |
50 |
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45 |
(/min) |
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VT |
|
408 |
428 |
598 |
699 |
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731 |
(ml) |
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VE |
|
13.6 |
12.7 |
26.0 |
34.7 |
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33.0 |
(L/min) |
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VO2 |
|
153 |
142 |
595 |
718 |
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726 |
(ml/min) |
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VO2/W |
2.8 |
2.6 |
10.8 |
13.1 |
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13.2 |
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VCO2 |
|
217 |
204 |
524 |
772 |
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780 |
(ml/min) |
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R |
|
1.42 |
1.44 |
0.88 |
1.08 |
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1.07 |
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VE/VO2 |
89 |
89 |
44 |
48 |
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45 |
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VE/VCO2 |
63 |
62 |
50 |
45 |
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42 |
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VD/VT |
0.32 |
0.34 |
0.31 |
0.31 |
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0.30 |
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HR |
|
78 |
80 |
105 |
120 |
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124 |
(/min) |
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VO2/HR |
2.0 |
1.8 |
5.7 |
6.0 |
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5.9 |
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METS |
0.8 |
0.7 |
3.1 |
3.7 |
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3.8 |
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BP |
|
137/92 |
137/92 |
150/100 |
216/130 |
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206/116 |
(mmHg) |
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|
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 |
|
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0% |
|
5% |
|
10% |
|
12% |
|
14% |
|
16% |
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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 |
|
7.409 |
|
7.398 |
7.372 |
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7.349 |
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PaO2 |
|
88.3 |
61.1 |
54.4 |
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49.7 |
(mmHg) |
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PaCO2 |
34.6 |
36.5 |
38.4 |
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|
38.7 |
(mmHg) |
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HCO3 |
|
21.5 |
22.0 |
21.8 |
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20.8 |
(mm/L) |
|
|
BE |
|
-2.0 |
-1.8 |
-2.6 |
|
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-3.9 |
(mm/L) |
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SAT |
|
97.2 |
91.4 |
87.1 |
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|
82.7 |
(%) |
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SpO2 |
|
98 |
98 |
94 |
88 |
|
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|
82 |
(%) |
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Lactate |
1.6 |
|
1.7 |
2.7 |
|
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|
3.4 |
(mg/dl) |
|
|
NA |
|
0.73 |
0.82 |
1.83 |
|
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|
2.47 |
(ng/ml) |
|
|
Ad |
|
0.11 |
0.07 |
0.15 |
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|
0.20 |
(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: 陰性 |
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2. |
peak VO2は予測値(1258ml/min)の 57.7%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=92.4% 換気パターンは
− |
|
VEmax/VEpred=133.3%(VEpred 24.8 l/min) |
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4. |
最大運動時のPaO2は49.7mmHgであり、低酸素血症(PaO2<60mmHg)は呈する。 |
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|
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PaO2slope=-6.74 |
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PaCO2slope=0.72mmHg/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=82.1% |
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6. |
AT(V-slope)= − ml/min |
|
AT(Lactate)= − ml/min |
|
NT= − ml/min |
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7. |
運動制限因子は − |
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<症例68-前> |
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