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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 |
2.39 |
(L) |
CV |
|
(%) |
|
MVV: |
34.65 |
|
|
|
|
%VC |
72.9 |
(%) |
dN2 |
|
(%) |
|
THR: |
154 |
|
|
|
FVC |
2.25 |
(L) |
TLC |
|
(L) |
|
|
%FVC |
68.6 |
(%) |
RV/TLC |
|
(%) |
|
|
FEV1.0 |
0.99 |
(L) |
DLCO |
|
|
|
|
%FEV1 |
35.4 |
(%) |
%DLCO |
|
(%) |
|
|
FEV1.0% |
44.0 |
(%) |
DLCO/VA |
|
|
|
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FEV1/VCp |
30.2 |
(%) |
Vtg |
|
|
|
|
IC |
1.55 |
(%) |
FRC |
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【O2(-)(21%)】 |
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|
[心肺機能検査] |
|
|
protocol: |
Ergo 漸増 |
10 |
Watt |
|
運動時間: |
6分48秒 |
中止理由: |
下肢疲労 |
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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 |
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Borg
Scale |
0 |
0 |
0 |
0 |
0 |
0.5 |
1 |
|
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1 |
|
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|
f |
|
23 |
21 |
30 |
30 |
|
|
|
|
|
37 |
(/min) |
|
|
VT |
|
529 |
933 |
927 |
1020 |
|
|
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|
854 |
(ml) |
|
|
VE |
|
12.3 |
19.2 |
23.1 |
29.9 |
|
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|
31.6 |
(L/min) |
|
|
VO2 |
|
203 |
398 |
473 |
642 |
|
|
|
|
|
634 |
(ml/min) |
|
|
VO2/W |
5.2 |
10.2 |
12.1 |
16.5 |
|
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|
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|
16.3 |
|
|
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VCO2 |
|
163 |
360 |
481 |
666 |
|
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|
654 |
(ml/min) |
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R |
|
0.80 |
0.90 |
1.02 |
1.04 |
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|
1.03 |
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VE/VO2 |
61 |
48 |
49 |
47 |
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50 |
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VE/VCO2 |
76 |
53 |
48 |
45 |
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48 |
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VD/VT |
0.43 |
0.41 |
0.37 |
0.39 |
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0.39 |
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HR |
|
91 |
101 |
113 |
128 |
|
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|
133 |
(/min) |
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|
VO2/HR |
2.2 |
3.9 |
4.2 |
5.0 |
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4.8 |
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METS |
1.5 |
2.9 |
3.5 |
4.7 |
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4.6 |
|
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BP |
|
106/70 |
104/67 |
114/69 |
132/75 |
|
|
|
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|
142/75 |
(mmHg) |
|
|
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|
[血液ガス検査] |
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|
|
|
|
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|
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 |
|
7.415 |
7.407 |
7.379 |
7.357 |
|
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|
|
7.347 |
|
|
PaO2 |
|
77.7 |
78.8 |
81.6 |
77.0 |
|
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|
73.2 |
(mmHg) |
|
|
PaCO2 |
38.5 |
40.0 |
42.2 |
43.2 |
|
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42.9 |
(mmHg) |
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HCO3 |
|
24.2 |
24.7 |
24.3 |
23.7 |
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22.9 |
(mm/L) |
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BE |
|
0.3 |
0.5 |
-0.3 |
-1.3 |
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-2.2 |
(mm/L) |
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SAT |
|
98.2 |
98.6 |
99.0 |
95.2 |
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|
98.2 |
(%) |
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SpO2 |
|
97 |
96 |
95 |
94 |
|
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(%) |
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Lactate |
0.7 |
1.1 |
2.1 |
3.2 |
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|
3.6 |
(mg/dl) |
|
|
NA |
|
0.243 |
0.299 |
0.396 |
0.550 |
|
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|
|
|
|
0.714 |
(ng/ml) |
|
|
Ad |
|
0.114 |
0.108 |
0.175 |
0.241 |
|
|
|
|
|
|
|
|
0.302 |
(ng/ml) |
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|
[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 |
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2. |
peak VO2は予測値(1122ml/min)の 57.2 %であり、運動能は 低下 を示唆する。 |
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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=91.2% 換気パターンは
rapid and shallow pattern |
|
VEmax/VEpred=176.2%(VEpred 17.9 l/min) |
|
|
|
|
4. |
最大運動時のPaO2は73.2mmHgであり、低酸素血症(PaO2<60mmHg)は呈さない。 |
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PaO2slope=-1.04 |
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PaCO2slope=1.02mmHg/100mlVO2 |
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|
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=86.4% |
|
|
|
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6. |
AT(V-slope)= 370 ml/min |
|
AT(Lactate)= 410.0 ml/min |
|
NT= − ml/min |
|
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|
|
7. |
運動制限因子は 換気 |
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その他: |
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<症例72-後> |
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