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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] |
|
|
|
|
|
VC |
1.15 |
(L) |
CV |
|
(%) |
|
|
MVV: |
28.7 |
|
|
|
|
%VC |
35.0 |
(%) |
dN2 |
|
(%) |
|
|
THR: |
149 |
|
|
|
FVC |
0.84 |
(L) |
TLC |
|
(L) |
|
|
|
%FVC |
25.6 |
(%) |
RV/TLC |
|
(%) |
|
|
|
FEV1.0 |
0.82 |
(L) |
DLCO |
|
|
|
|
|
%FEV1 |
30.4 |
(%) |
%DLCO |
|
(%) |
|
|
|
FEV1.0% |
97.6 |
(%) |
DLCO/VA |
|
|
|
|
|
FEV1/VCp |
25.0 |
(%) |
Vtg |
|
|
|
|
|
IC |
0.96 |
(%) |
FRC |
|
|
|
|
|
|
|
| 【Ｏ2(-)(21%)】 |
|
|
| [心肺機能検査] |
|
|
protocol: |
Ergo 漸増 |
|
Watt |
|
運動時間: |
4分44秒 |
|
中止理由: |
息切れ |
|
|
|
|
|
|
|
安静時 |
2分後 |
4分後 |
6分後 |
8分後 |
10分後 |
12分後 |
14分後 |
16分後 |
終了時 |
|
|
Watt |
|
10 |
20 |
|
|
|
|
|
|
|
|
|
|
|
20 |
|
| Borg
Scale |
3 |
6 |
7 |
7 |
|
|
|
|
|
|
|
|
|
|
|
|
|
9 |
|
|
|
f |
|
42 |
70 |
63 |
|
|
|
|
|
|
70 |
(/min) |
|
|
VT |
|
418 |
395 |
518 |
|
|
|
|
|
|
512 |
(ml) |
|
|
VE |
|
17.4 |
26.1 |
32.1 |
|
|
|
|
|
|
35.7 |
(L/min) |
|
|
VO2 |
|
287 |
450 |
579 |
|
|
|
|
|
|
577 |
(ml/min) |
|
|
VO2/W |
7.0 |
11.0 |
14.1 |
|
|
|
|
|
|
14.1 |
|
|
|
VCO2 |
|
242 |
397 |
593 |
|
|
|
|
|
|
639 |
(ml/min) |
|
|
R |
|
0.84 |
0.88 |
1.02 |
|
|
|
|
|
|
1.11 |
|
|
|
VE/VO2 |
61 |
58 |
55 |
|
|
|
|
|
|
62 |
|
|
|
VE/VCO2 |
72 |
66 |
54 |
|
|
|
|
|
|
56 |
|
|
|
VD/VT |
0.35 |
0.28 |
0.30 |
|
|
|
|
|
|
0.30 |
|
|
|
HR |
|
87 |
98 |
110 |
|
|
|
|
|
|
113 |
(/min) |
|
|
VO2/HR |
3.3 |
4.6 |
5.3 |
|
|
|
|
|
|
5.1 |
|
|
|
METS |
2.0 |
3.1 |
4.0 |
|
|
|
|
|
|
4.0 |
|
|
|
BP |
|
140/80 |
147/80 |
176/82 |
|
|
|
|
|
|
182/84 |
(mmHg) |
|
|
|
|
| [血液ガス検査] |
|
|
|
|
|
|
|
安静時 |
2分後 |
4分後 |
6分後 |
8分後 |
10分後 |
12分後 |
14分後 |
16分後 |
終了時 |
|
|
pH |
|
7.468 |
7.461 |
7.431 |
|
|
|
|
|
|
|
|
|
7.431 |
|
|
PaO2 |
|
104.0 |
96.5 |
82.0 |
|
|
|
|
|
|
|
|
|
82.3 |
(mmHg) |
|
|
PaCO2 |
35.8 |
37.4 |
37.5 |
|
|
|
|
|
|
|
|
|
40.6 |
(mmHg) |
|
|
HCO3 |
|
25.6 |
26.3 |
24.5 |
|
|
|
|
|
|
|
|
|
26.5 |
(mm/L) |
|
|
BE |
|
2.4 |
2.9 |
0.8 |
|
|
|
|
|
|
|
|
|
2.6 |
(mm/L) |
|
|
SAT |
|
98.4 |
98.1 |
96.7 |
|
|
|
|
|
|
|
|
|
96.9 |
(%) |
|
|
SpO2 |
|
97 |
96 |
97 |
|
|
|
|
|
|
|
|
|
97 |
(%) |
|
|
Lactate |
0.6 |
0.8 |
1.5 |
|
|
|
|
|
|
|
|
|
2.0 |
(mg/dl) |
|
|
NA |
|
1.550 |
2.029 |
3.049 |
|
|
|
|
|
|
|
|
|
3.806 |
(ng/ml) |
|
|
Ad |
|
0.187 |
0.294 |
0.425 |
|
|
|
|
|
|
|
|
|
0.475 |
(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(997ml/min)の 58.1 %であり、運動能は 低下 を示唆する。 |
|
|
|
|
3. |
運動中の換気当量(VE/VO2)は 健常より大 であり、換気効率は 低下 |
|
|
|
|
|
VEmax/MVV=124.4% 換気パターンは
rapid and shallow pattern |
VEmax/VEpred=214.0%(VEpred 16.7 l/min) |
|
|
|
|
4. |
最大運動時のPaO2は82.3mmHgであり、低酸素血症(PaO2<60mmHg)は呈さない。 |
|
|
|
|
|
PaO2slope=-7.48 |
|
PaCO2slope=1.66mmHg/100mlVO2 |
|
|
|
|
5. |
運動に伴い、HRは 正常に増加 、O2pulse(VO2/HR)は 正常 であり、心機能は 正常 を示唆する｡ |
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|
|
|
|
HRmax/THR=75.8% |
|
|
|
|
6. |
AT(V-slope)= − ml/min |
|
AT(Lactate)= − ml/min |
|
NT= − ml/min |
|
|
|
|
7. |
運動制限因子は 換気 |
|
|
|
|
S |
|
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<症例69-前> |
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