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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 |
1.81 |
(L) |
CV |
0 |
(%) |
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MVV: |
16.8 |
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%VC |
57.1 |
(%) |
dN2 |
9.44 |
(%) |
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THR: |
151 |
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FVC |
1.40 |
(L) |
TLC |
6.25 |
(L) |
|
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%FVC |
44.2 |
(%) |
RV/TLC |
186.4 |
(%) |
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FEV1.0 |
0.48 |
(L) |
DLCO |
3.97 |
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%FEV1 |
18.1 |
(%) |
%DLCO |
28.2 |
(%) |
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FEV1.0% |
34.3 |
(%) |
DLCO/VA |
0.77 |
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FEV1/VCp |
15.2 |
(%) |
Vtg |
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IC |
|
(%) |
FRC |
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[心肺機能検査] |
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protocol: |
Erogo漸増 |
5 |
Watt |
|
運動時間: |
3分13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 |
0 |
0.5 |
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|
7 |
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RR |
|
22 |
25 |
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|
29 |
(/min) |
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TV |
|
721 |
666 |
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|
591 |
(ml) |
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VE |
|
15.5 |
16.9 |
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17.1 |
(L/min) |
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VO2 |
|
396 |
461 |
|
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|
526 |
(ml/min) |
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VO2/W |
7.8 |
9.1 |
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|
10.4 |
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VCO2 |
|
359 |
431 |
|
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|
455 |
(ml/min) |
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R |
|
0.91 |
0.93 |
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|
0.87 |
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VE/VO2 |
39 |
37 |
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|
33 |
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VE/VCO2 |
43 |
39 |
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38 |
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VD/VT |
0.39 |
0.39 |
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0.39 |
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HR |
|
109 |
121 |
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123 |
(/min) |
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VO2/HR |
3.6 |
3.8 |
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4.3 |
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METS |
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BP |
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(mmHg) |
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[血液ガス検査] |
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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 |
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pH |
|
7.370 |
7.342 |
|
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|
7.304 |
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PaO2 |
|
72.7 |
64.0 |
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|
57.6 |
(mmHg) |
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PaCO2 |
48.1 |
53.3 |
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|
59.7 |
(mmHg) |
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HCO3 |
|
27.1 |
28.1 |
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28.7 |
(mm/L) |
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BE |
|
1.6 |
1.6 |
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1.2 |
(mm/L) |
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SAT |
|
94.8 |
94.8 |
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|
86.9 |
(%) |
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SpO2 |
|
95 |
93 |
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|
87 |
(%) |
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Lactate |
1.7 |
2.1 |
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2.5 |
(mg/dl) |
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NA |
|
1.951 |
2.309 |
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|
3.182 |
(ng/ml) |
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Ad |
|
0.447 |
0.473 |
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|
0.694 |
(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:
なし |
|
ST変化: なし |
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2. |
peak VO2は予測値(1321ml/min)の 39.8 %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=101.8% 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57.6 Torrであり、低酸素血症(PaO2<60mmHg)は |
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PaO2slope=-11.62 |
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PaCO2slope=8.92Torr/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=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 |
|
11.その他 |
|
|
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|
<症例84-2前> |
|
|
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