临床肺功能检查PFT-MED.PPT

Case 1 Ref Meas % FVC 3.41 3.02 88 FEV1 2.53 1.23 49 FEV1% 74 41 PEF 6.10 3.95 65 How to interpret the test? Case 2 A 55 year old male was evaluated preoperatively for cataract surgery. Case 2 Case 2 Ref Meas % FVC 4.60 1.85 40 FEV1 3.33 0.92 28 FEV1% 72 50 PEF 8.55 3.82 45 How to interpret the test? Case 3 30 y/o male, 186 cm, 68 kg, severe interstitial fibrosis. Case 3 Case 3 Ref Meas % FVC 6.01 1.12 19 FEV1 4.89 1.04 21 FEV1% 81 93 TLC 7.45 2.09 28 DLCO 35 9 26 How to interpret the test? Case 4 BKM 25 y/o male, non-smoker, cough for 1 month, denied shortness of breath or wheezing. Normal physical exam. Order a chest x-ray Case 4 Case 4 Ref Meas % FVC 5.25 4.43 84 FEV1 4.44 3.61 81 FEV1% 86 74 How to interpret the test? Case 4 How to interpret bronchodilator test? Bronchodilator Test Pre Post %Change FVC 4.43 5.08 15% FEV1 3.61 4.10 14% FEV1% 74 79 Can you make a statement as to the patient’s underlyinglung disease? Case 5 ZXM 39 y/o female, non-smoker, cough and wheezing 10 days, worsening at night, asthma suspected. Normal physical exam. Case 5 Ref Meas % FVC 3.32 4.20 127 FEV1 2.86 2.26 79 FEV1% 86 66 How to interpret the test? Portable spirometry for 14 days Tulobuterol patch 2mg QD for 14 days Case 5 * * 周晓梅 120668v Pulmonary Function Tests临床肺功能检查 What Pulmonary Function Tests Do You Need ? Spirometry Lung Volumes Body Plethysmography Diffusing Capacity (DLCO) Arterial Blood Gas Analysis Water-seal spirometer: 水鼓式 Pneumotach流速仪 Portable spirometer便携式 Portable spirometer动态肺量计 Body box体描箱 Diffusion What Information Does PFT Provide ? The function of the airways The function of pulmonary parenchyma Pulmonary vasculature Respiratory muscle Spirometry Detect lung disease (screening) Quantify extent of known disease Determine benefits/risks of therapy Assess surgical risk Indications Lung Volumes Diagnose / assess restrictiv