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無断転載禁止 |
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運動負荷心肺機能検査 |
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| [肺機能検査] |
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VC |
2.47 |
(L) |
CV |
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(%) |
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MVV: |
32.55 |
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%VC |
79.7 |
(%) |
dN2 |
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(%) |
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THR: |
147 |
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FVC |
2.34 |
(L) |
TLC |
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|
(L) |
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%FVC |
75.5 |
(%) |
RV/TLC |
|
|
(%) |
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FEV1.0 |
0.93 |
(L) |
DLCO |
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%FEV1 |
37.4 |
(%) |
%DLCO |
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(%) |
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FEV1.0% |
39.7 |
(%) |
DLCO/VA |
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FEV1/VCp |
30.0 |
(%) |
Vtg |
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IC |
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(%) |
FRC |
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| [心肺機能検査] |
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protocol: |
m-Toneyama |
|
Watt |
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運動時間: |
5分59秒 |
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 |
0.5 |
0.5 |
2 |
3 |
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|
6 |
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RR |
|
22 |
21 |
20 |
22 |
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|
29 |
(/min) |
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TV |
|
629 |
847 |
942 |
1195 |
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|
1070 |
(ml) |
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VE |
|
12.1 |
17.3 |
18.9 |
25.8 |
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30.0 |
(L/min) |
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VO2 |
|
235 |
339 |
430 |
631 |
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|
734 |
(ml/min) |
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VO2/W |
4.1 |
5.8 |
7.4 |
10.9 |
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12.7 |
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VCO2 |
|
201 |
291 |
350 |
542 |
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635 |
(ml/min) |
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R |
|
0.86 |
0.86 |
0.81 |
0.86 |
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0.87 |
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VE/VO2 |
51 |
51 |
44 |
41 |
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41 |
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VE/VCO2 |
60 |
59 |
54 |
48 |
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47 |
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VD/VT |
0.42 |
0.47 |
0.45 |
0.43 |
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0.44 |
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HR |
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88 |
91 |
100 |
110 |
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120 |
(/min) |
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VO2/HR |
2.7 |
3.7 |
4.3 |
5.7 |
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6.1 |
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METS |
1.2 |
1.7 |
2.1 |
3.1 |
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3.6 |
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BP |
|
130/53 |
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133/59 |
129/81 |
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173/80 |
(mmHg) |
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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 |
|
7.421 |
|
7.418 |
7.402 |
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7.375 |
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PaO2 |
|
69.8 |
66.9 |
61.0 |
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58.8 |
(mmHg) |
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PaCO2 |
41.4 |
40.4 |
43.5 |
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46.3 |
(mmHg) |
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HCO3 |
|
26.4 |
25.6 |
26.5 |
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26.5 |
(mm/L) |
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BE |
|
2.2 |
1.5 |
2.0 |
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1.5 |
(mm/L) |
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SAT |
|
94.5 |
93.4 |
90.7 |
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88.6 |
(%) |
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SpO2 |
|
95 |
95 |
95 |
90 |
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|
89 |
(%) |
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Lactate |
1.1 |
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1.1 |
1.3 |
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2.3 |
(mg/dl) |
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NA |
|
0.534 |
0.705 |
0.961 |
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|
1.488 |
(ng/ml) |
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|
Ad |
|
0.080 |
0.076 |
0.097 |
|
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|
|
0.125 |
(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: CRBBB |
|
ST変化: なし 心電図判定: 陰性 |
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2. |
peak VO2は予測値(1421ml/min)の 51.6 %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 健常より大 であり、換気効率は 低下 |
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VEmax/MVV=92.2% 換気パターンは 終了時rapid and shallow |
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VEmax/VEpred=130.2%(VEpred 23.0 l/min) |
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4. |
最大運動時のPaO2は58.8 Torrであり、低酸素血症(PaO2<60mmHg)は呈する。 |
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PaO2slope=-2.20 |
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PaCO2slope=0.98Torr/100mlVO2 |
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5. |
運動に伴い、HRは 健常より大 、O2pulse(VO2/HR)は 正常 であり、心機能は やや低 を示唆する｡ |
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HRmax/THR=81.6% |
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6. |
AT(V-slope)= - ml/min |
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AT(Lactate)= ml/min |
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NT= ml/min |
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7. |
運動制限因子は 換気 |
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<症例80-前> |
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