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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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2011年 |
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[肺機能検査] |
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|
VC |
1.68 |
(L) |
CV |
0.01 |
(%) |
|
MVV: |
16.1 |
|
|
|
|
%VC |
53.0 |
(%) |
dN2 |
11.54 |
(%) |
|
THR: |
151 |
|
|
FVC |
1.65 |
(L) |
TLC |
5.83 |
(L) |
|
|
|
%FVC |
52.1 |
(%) |
RV/TLC |
185.8 |
(%) |
|
|
|
FEV1.0 |
0.46 |
(L) |
DLCO |
2.83 |
|
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|
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%FEV1 |
17.4 |
(%) |
%DLCO |
20.5 |
(%) |
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|
FEV1.0% |
27.9 |
(%) |
DLCO/VA |
0.54 |
|
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|
FEV1/VCp |
14.5 |
(%) |
Vtg |
|
|
|
|
IC |
1.1 |
(%) |
FRC |
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[心肺機能検査] |
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|
protocol: |
Ergo漸増 |
5 Watt |
|
運動時間 |
2分59秒 |
中止理由: |
息切れ、下肢 |
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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 |
|
5 |
10 |
|
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|
|
|
|
(/min) |
|
Borg
Scale |
0 |
0.5 |
1/1 |
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|
5/5 |
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|
RR |
|
24 |
26 |
|
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|
|
30 |
(/min) |
|
|
VT |
|
570 |
557 |
|
|
|
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|
|
|
497 |
(ml) |
|
|
VE |
|
13.4 |
14.2 |
|
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|
15.1 |
(L/min) |
|
|
VO2 |
|
299 |
445 |
|
|
|
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|
|
491 |
(ml/min) |
|
|
VO2/W |
5.9 |
8.8 |
|
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|
|
|
9.7 |
|
|
|
VCO2 |
|
291 |
396 |
|
|
|
|
|
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|
419 |
(ml/min) |
|
|
R |
|
0.97 |
0.89 |
|
|
|
|
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|
0.85 |
|
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VE/VO2 |
45 |
32 |
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|
31 |
|
|
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VE/VCO2 |
46 |
36 |
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|
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|
36 |
|
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VD/VT |
0.39 |
0.35 |
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|
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|
0.36 |
|
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HR |
|
106 |
118 |
|
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|
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|
123 |
(/min) |
|
|
VO2/HR |
2.8 |
3.8 |
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|
4.0 |
|
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METS |
1.7 |
2.6 |
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|
2.9 |
|
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BP |
|
155/85 |
173/98 |
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|
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|
146/96 |
(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 |
|
|
pH |
|
7.375 |
7.336 |
|
|
|
|
|
|
|
|
|
7.300 |
|
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PaO2 |
|
75.3 |
58.8 |
|
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|
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|
|
|
51.9 |
(mmHg) |
|
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PaCO2 |
50.3 |
56.8 |
|
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|
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|
62.5 |
(mmHg) |
|
|
HCO3 |
|
28.7 |
29.6 |
|
|
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|
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|
29.9 |
(mm/L) |
|
|
BE |
|
3.0 |
2.6 |
|
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|
1.9 |
(mm/L) |
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|
SAT |
|
95.8 |
88.0 |
|
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|
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|
82.8 |
(%) |
|
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SpO2 |
|
95 |
83 |
|
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|
84 |
(%) |
|
|
Lactate |
1.1 |
1.6 |
|
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|
2.1 |
(mg/dl) |
|
|
NA |
|
1.04 |
1.607 |
|
|
|
|
|
|
|
|
|
2.309 |
(ng/ml) |
|
|
Ad |
|
0.259 |
0.467 |
|
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|
|
|
|
|
|
|
0.463 |
(ng/ml) |
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[コメント] |
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|
1. |
ECG所見 VPB: SVPB: その他: |
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2. |
peak VO2は予測値(1321ml/min)の 37.2 %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=93.8% 換気パターンは |
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VEmax/VEpred= ? %(VEpred 0.0 l/min) |
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4. |
最大運動時のPaO2は51.9Torrであり、低酸素血症(PaO2<60mmHg)は |
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PaO2slope=-12.19 |
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PaCO2slope=6.35Torr/100mlVO2 |
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5. |
運動に伴い、HRは 、O2pulse(VO2/HR)は であり、心機能 を示唆する。 |
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HRmax/THR=81.5% |
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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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その他: |
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<症例84-後> |
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