英文版肺功能检查.ppt

Pulmonary Function TestingRespiratory Department of the Second Affiliated Hospital of Guangzhou Medical University Huaxing Huang Clinical Pratice of Pulmonary Function TestingDiagnosticObjective AssessmentMonitoringEvaluations for Disability / Impairment Lung volume and capacityVentilation functionDiffusion functionMechanics of breathingMain Programs of Pulmonary Function Testing Lung volumeLung volume means the maximal volume of gas contained by a lung.Lung volume = tidal volume(VT) + inspiratory reserve volume(IRV) + expiratory reserve volume(ERV) + residual volume(RV)Lung capacity: inspiratory capacity(IC), vital capacity(VC), functional residual capacity(FRV), total lung capacity(TLC) Curve of lung capacityIRVERVVTVCRVTLCICFRCVital capacity The?maximum?volume?of?air?that?can?be inspired?by?forceful?expiration.Residual volumeInspiratory reserve volume?Expiratory reserve capacityTotal lung capacity Tidal volume?Functional reserve volume Tidal volume (VT)The?volume?of?air?inspired?or?expired?with?each?normal?breath.8-15ML/KG Inspiratory capacity（IC）Inspiratory reserve volume（IRV）IC, the?maximum?volume?of?air?that?can?be inspired?by?forceful?expiration. It is equal to VT plus IRV.IRV, the?maximum?extra?volume?of?air?that?be? inspired?over?and?above?the?normal?tidal?volume.These reveal the maximam expansion of lung and chest at static state. Expiratory reserve volume (ERV）The?maximum?extra?volume?of?air?that? be?inspired?over?and?above?the?normal? tidal?volume.It reflects the power of expiratory muscle and abdominal muscle. Vital capacity （VC）The?largest?amount?of?air?that?can?be?expired?after?a?maximal?inspiratory?effort?frequently.?VC varies among normal bodies, so ratios of measured VC to predicted VC are used for judgment.Grading standard： ratio of measured VC to predicted VC ≥80%——normal 60-79%——mildly reduced 40-59%——moderately reduced 40%——severely reduced Commo