肺功能指標(biāo)英文縮寫及臨床意義解析醫(yī)學(xué)課件

肺功能指標(biāo)英文縮寫及臨床意義解析1肺功能指標(biāo)英文縮寫及臨床意義解析12233Tidalvolume潮氣容積TV4TidalvolumeTV4inspiratoryreservevolume

補(bǔ)吸氣容積

IRV5inspiratoryreservevolumeIRVexpiratoryreservevolume補(bǔ)呼氣容積

EVR6expiratoryreservevolumeEVR6residualvolume殘氣容積

RV7residualvolumeRV7inspiratorycapacity深吸氣量IC8inspiratorycapacityIC8functionalresidualcapacity功能殘氣量FRC9functionalresidualcapacityFRVitalcapacity肺活量VC10VitalcapacityVC10TLCTotallungcapacity肺總量11TLCTotallungcapacity11FVCForcedvitalcapcacity:用力肺活量：是指最大吸氣（TLC位）后以最大努力、最快速度呼氣至完全（RV位）的呼氣氣量FIVC：forcedinspiratoryvitacacapicity,用力吸氣肺活量12FVCForcedvitalcapcacity:用力肺活FEV1.0Forcedexpiratoryvolumeinonesecond,簡(jiǎn)稱1秒量，最大吸氣至TLC位后第1秒內(nèi)的最快呼出氣量FEV3.0FEV6.0FIV1.013FEV1.0Forcedexpiratoryvolume510152468Time(s)Volume(L)容積-時(shí)間曲線Man176cm76kgFVCFEV114510152468Time(s)Volume(L)容積容積-時(shí)間曲線15容積-時(shí)間曲線15FVC流速-容量曲線16FVC流速-容量曲線16FEV1/FVC1秒率，是判斷氣道有否阻塞的最重要的指標(biāo)17FEV1/FVC1秒率，是判斷氣道有否阻塞17PEF，PEFR，PIFPeakexpiratoryflow

呼氣峰流速Peakexpiratoryflowrate呼氣峰流速變異率PIF：peakinspiratoryflow

吸氣峰流速18PEF，PEFR，PIFPeakexpiratoryflMVVmaximalvoluntaryventilation最大自主通氣量19MVVmaximalvoluntaryventilatiMMEF，F(xiàn)EF25-75%,FETMaximalmid-expiratoryflow

用力呼氣中期流速Forcedexpiratoryflow

用力呼氣流量FEF25-75%，forcedexpiratoryflowfrom25-75%ofFVC

呼出氣體25%-75%肺活量的平均流量FEF200-1200起始用力呼氣200ml-1200ml的平均流量FET（Texp）:forcedexpiratorytime

用力呼氣時(shí)間20MMEF，F(xiàn)EF25-75%,FETMaximalmidFEF25%，max75%,MEF75%FEF25%：forcedexpiratoryflowat25%ofFVC,用力呼出25%肺活量時(shí)的瞬間呼氣流量max75%:maximalexpiratoryflowafter75%oftheFVChasnotbeenexhaledMEF75%:maximalexpiratoryflowafter75%oftheFVChasnotbeenexhaled21FEF25%，max75%,MEF75%21FEF50%，max50%,MEF50%FEF50%：forcedexpiratoryflowat50%ofFVC,用力呼出50%肺活量時(shí)的瞬間呼氣流量max50%:maximalexpiratoryflowafter50%oftheFVChasnotbeenexhaledMEF50%:maximalexpiratoryflowafter50%oftheFVChasbeennotexhaledMIF50%:FIF50%：FEF50%/FIF50%＞1：胸外型上氣道阻塞22FEF50%，max50%,MEF50%FEF50FEF75%，max25%,MEF25%FEF75%：forcedexpiratoryflowat75%ofFVC,用力呼出75%肺活量時(shí)的瞬間呼氣流量max25%:forcedexpiratoryflowafter25%oftheFVChasnotbeenexhaledMEF25%:maximalexpiratoryflowafter25%oftheFVChasnotbeenexhaled23FEF75%，max25%,MEF25%FEF75FEF，max,MEF24FEF，max,MEF24DLcoDiffusioncapacityforcarbonmonoxide

一氧化碳彌散量25DLcoDiffusioncapacityforcarCarbonmonoxide

transferfactordeterminedinsinglebreathTIcosbTIco

corSTPDcorrectedCarbonmonoxide

transferfactordeterminedinsinglebreathstandardconditionswithtemperature0℃,pressure760mmHganddrySTPD26Carbonmonoxide

transferfactoKco，DLco/VADiffusioncapacityforcarbonmonoxideperliterofalveolarvolume每升肺泡容積的一氧化碳彌散量27Kco，DLco/VADiffusioncapacityKrogh常數(shù),DLCO除以VA（DLCO/VA）稱彌散常數(shù)（diffusionconstant）STPDcorrecteddiffusioncapacityforcarbonmonoxideperliterofalveolarvolumeKKco,cor28Krogh常數(shù),DLCO除以VA（DLCO/VA）STPDPD20-FEV1,PC20-FEV1PD20FEV1：使FEV1下降20%時(shí)累計(jì)吸入激發(fā)物的累計(jì)劑量

PD:Provocationdosage

PC20FEV1:使FEV1下降20%時(shí)累計(jì)吸入激發(fā)物的濃度

PC:Provocationconcentration29PD20-FEV1,PC20-FEV1PD20FEV1：使30303131

謝謝！32謝謝！32肺功能指標(biāo)英文縮寫及臨床意義解析33肺功能指標(biāo)英文縮寫及臨床意義解析1342353Tidalvolume潮氣容積TV36TidalvolumeTV4inspiratoryreservevolume

補(bǔ)吸氣容積

IRV37inspiratoryreservevolumeIRVexpiratoryreservevolume補(bǔ)呼氣容積

EVR38expiratoryreservevolumeEVR6residualvolume殘氣容積

RV39residualvolumeRV7inspiratorycapacity深吸氣量IC40inspiratorycapacityIC8functionalresidualcapacity功能殘氣量FRC41functionalresidualcapacityFRVitalcapacity肺活量VC42VitalcapacityVC10TLCTotallungcapacity肺總量43TLCTotallungcapacity11FVCForcedvitalcapcacity:用力肺活量：是指最大吸氣（TLC位）后以最大努力、最快速度呼氣至完全（RV位）的呼氣氣量FIVC：forcedinspiratoryvitacacapicity,用力吸氣肺活量44FVCForcedvitalcapcacity:用力肺活FEV1.0Forcedexpiratoryvolumeinonesecond,簡(jiǎn)稱1秒量，最大吸氣至TLC位后第1秒內(nèi)的最快呼出氣量FEV3.0FEV6.0FIV1.045FEV1.0Forcedexpiratoryvolume510152468Time(s)Volume(L)容積-時(shí)間曲線Man176cm76kgFVCFEV146510152468Time(s)Volume(L)容積容積-時(shí)間曲線47容積-時(shí)間曲線15FVC流速-容量曲線48FVC流速-容量曲線16FEV1/FVC1秒率，是判斷氣道有否阻塞的最重要的指標(biāo)49FEV1/FVC1秒率，是判斷氣道有否阻塞17PEF，PEFR，PIFPeakexpiratoryflow

呼氣峰流速Peakexpiratoryflowrate呼氣峰流速變異率PIF：peakinspiratoryflow

吸氣峰流速50PEF，PEFR，PIFPeakexpiratoryflMVVmaximalvoluntaryventilation最大自主通氣量51MVVmaximalvoluntaryventilatiMMEF，F(xiàn)EF25-75%,FETMaximalmid-expiratoryflow

用力呼氣中期流速Forcedexpiratoryflow

用力呼氣流量FEF25-75%，forcedexpiratoryflowfrom25-75%ofFVC

呼出氣體25%-75%肺活量的平均流量FEF200-1200起始用力呼氣200ml-1200ml的平均流量FET（Texp）:forcedexpiratorytime

用力呼氣時(shí)間52MMEF，F(xiàn)EF25-75%,FETMaximalmidFEF25%，max75%,MEF75%FEF25%：forcedexpiratoryflowat25%ofFVC,用力呼出25%肺活量時(shí)的瞬間呼氣流量max75%:maximalexpiratoryflowafter75%oftheFVChasnotbeenexhaledMEF75%:maximalexpiratoryflowafter75%oftheFVChasnotbeenexhaled53FEF25%，max75%,MEF75%21FEF50%，max50%,MEF50%FEF50%：forcedexpiratoryflowat50%ofFVC,用力呼出50%肺活量時(shí)的瞬間呼氣流量max50%:maximalexpiratoryflowafter50%oftheFVChasnotbeenexhaledMEF50%:maximalexpiratoryflowafter50%oftheFVChasbeennotexhaledMIF50%:FIF50%：FEF50%/FIF50%＞1：胸外型上氣道阻塞54FEF50%，max50%,MEF50%FEF50FEF75%，max25%,MEF25%FEF75%：forcedexpiratoryflowat75%ofFVC,用力呼出75%肺活量時(shí)的瞬間呼氣流量max25%:forcedexpiratoryflowafter25%oftheFVChasnotbeenexhaledMEF25%:maximalexpiratoryflowafter25%oftheFVChasnotbeenexhaled55FEF75%，max25%,MEF25%FEF75FEF，max,MEF56FEF，max,MEF24DLcoDiffusioncapacityforcarbonmonoxide

一氧化碳彌散量57DLcoDiffusioncapacityforcarCarbonmonoxide

transferfactordeterminedinsinglebreathTIcosbTIco

corSTPDcorrectedCarbonmonoxide

transferfa