casos patológicos del servicio de fisiología pulmonar de niÑos

CASOS PATOLOGICOS DEL SERVICIO DE

FISIOLOGIA PULMONAR

PEDIATRICOS

Fibrosis quística

Fibrosis quística

Fibrosis quística

Fibrosis quística

Fibrosis quística

Fibrosis quística

PRED BASAL % POSBR %

FVC 1.29 0.70 54 0.70 54

FEV 1.09 0.30 27 0.30 27

REL 85 43 -42 43 -42

FMAX 2.3 0.90 38 0.90 38

F 25-75 1.6 0.20 13 0.20 13

F75-85 0.64 0.07 11 0.07 11

HbO2 78S=2, E=7, P=16, T=1.07, IMC:14

Fibrosis quísticaPatrón mixto de grado moderado a muy severo

Fibrosis quística

Fibrosis quística

Fibrosis quística

PRED BASAL % POSBR %

FVC 2.18 1.25 57 1.53 70

FEV 1.86 0.61 33 0.77 41

REL 85 49 -36 50 -35

FMAX 4.00 1.80 45 2.10 53

F 25-75 2.60 0.20 7 0.30 11

F75-85 1.09 0.06 5 0.10 9

HbO2 83S=1, E=12, P=25, T=1.34, IMC:13.9

Fibrosis quística

Fibrosis quística

Fibrosis quística

Fibrosis quística

PRED BASAL % POSBR %

FVC 2.41 0.71 32 0.71 32

FEV 2.05 0.44 21 0.44 21

REL 85 57 -28 57 -28

FMAX 44 2.30 52 2.30 52

F 25-75 2.90 0.20 7 0.20 7

F75-85 1.20 0.08 7 0.08 7

HbO2 70

Fibrosis quística

S=2, E=12, P=25.5, T=1.39, IMC:13.2

Fibrosis quística

Fibrosis quística

PRED BASAL % POSBR %

FVC 3.42 1.84 54 1.84 54

FEV 2.91 0.88 30 0.88 30

REL 85 48 -37 48 -37

FMAX 6.20 2.70 43 2.70 43

F 25-75 4.10 0.30 7 0.30 7

F75-85 1.71 0.10 6 0.10 6

HbO2 81

Fibrosis quística

S=2, E=15, P=43.8, T=1.57, IMC:17.8

Fibrosis quística

PRED BASAL % POS BR %

FVC 1.73 1.21 70 1.21 70

FEV 1.47 0.69 46 0.69 46

REL 85 55 -30 55 -30

FMAX 3.1 2.00 64 2.00 64

F 25-75 2.1 0.40 19 0.40 19

F75-85 0.86 0.17 19 0.17 19

HbO2 93

Fibrosis quística

S=1, E=9, P=19, T=1.22, IMC:

Sd. Polland

Sd. Polland

DextrocardiaAsimetría toracicaHipoplasia pulmonar izq

PRED BASAL % POSBR %

FVC 1.50 1.35 90 1.35 90

FEV 1.28 1.15 90 1.15 90

REL 85 85 0 85 0

FMAX 2.74 3.05 128 3.05 128

F 25-75 1.82 2.00 110 2.00 110

F75-85 0.75 0.80 106 0.80 106

HbO2 94

Sd. Polland

S=2, E=5, P=21.8, T=1.15, IMC:16.44

Bronquiectasias

Bronquiectasias

Bronquiectasias

Bronquiectasias

PRED BASAL % POSBR %

FVC 2.33 1.38 59 1.69 72

FEV 1.95 0.70 36 0.82 42

REL 58 51 -40 48 -42

FMAX 4.38 1.50 34 1.50 34

F 25-75 2.67 0.30 11 0.30 11

F75-85 0.87 0.10 11 0.10 11

HbO2 94

Bronquiectasias

S=2, E=11, P=25, T=1.32, IMC:14.35

Fibrosis quística

Fibrosis quística

Fibrosis quística

PRED BASAL % POSBR %

FVC 2.10 0.83 39 0.90 43

FEV 1.75 0.47 27 0.53 30

REL 87 57 -33 59 -31

FMAX 4.00 2.30 57 3.00 75

F 25-75 2.47 0.20 8 0.20 8

F75-85 0.79 0.06 8 0.06 8

HbO2 78

Fibrosis quística

S=2, E=10, P=23, T=1.27, IMC:14.26

Neumonía intersticial

Neumopatía intersticial

Neumopatía intersticial

PRED BASAL % POSBR %

FVC 2.95 1.52 51 1.52 51

FEV 2.46 1.40 57 1.40 57

REL 85 92 7 92 7

FMAX 5.36 4.00 75 4.00 75

F 25-75 3.24 2.20 68 2.20 68

F75-85 1.01 0.68 68 0.68 68

HbO2 52

Neumonía intersticial

S=2, E=14, P=22, T=1.43, IMC:10.76

Fibrosis quística

Fibrosis quística

Fibrosis quística

PRED BASAL % POSBR %

FVC 1.38 0.80 58 0.80 58

FEV 1.15 0.40 35 0.49 43

REL 86 50 -36 61 -25

FMAX 2.72 2.00 73 2.00 73

F 25-75 1.88 0.80 42 0.80 42

F75-85 0.35 0.15 42 0.15 42

HbO2 86%

Fibrosis quística

S=1, E=8, P=16, T=1.06, IMC:14.24

Neumonía en resolución

Neumonía en resolución

PRED BASAL % POSBR %

FVC 2.19 1.81 82 1.81 82

FEV 1.88 1.57 82 1.57 82

REL 86 87 1 87 1

FMAX 4.22 4.00 95 4.00 95

F 25-75 2.42 2.10 87 2.10 87

F75-85 0.99 0.80 82 0.80 82

HbO2

S=1, E=8, P=38, T=1.30, IMC:22.49

Neumonía en resolución

Pb. Hipoplasia pulmonar

Pb. Hipoplasia pulmonar

PRED BASAL % POS BR %

FVC 4.34 1.71 39 1.71 39

FEV 2.92 1.13 29 1.13 29

REL 89 66 -22 66 -22

FMAX 10.81 3.30 31 3.30 31

F 25-75 4.79 0.80 17 0.80 17

F75-85 1.77 0.20 11 0.20 11

S=1, E=17, P=37, T=1.56, IMC:15.20

Pb. Hipoplasia pulmonar

REPOSO EJERCICIO O2

PaO2 68

PaCO2 30

pH 7.40

HbO2 92

Pb. Hipoplasia pulmonar

Estenosis traqueal

PRED BASAL % POS BR %

FVC 3.42 2.08 61 2.08 61

FEV 2.99 1.82 61 1.82 61

REL 88 87 0 87 0

FMAX 6.20 2.60 42 2.60 42

F 25-75 3.43 2.20 64 2.20 64

F75-85 1.30 1.20 92 1.20 92

S=2, E=13, P=40.7, T=1.51, IMC:17.85

Estenosis traqueal

94 %

Foto

Foto

PRED BASAL % POSBR %

FVC 2.66 0.50 19 0.50 19

FEV 2.31 .035 15 .035 15

REL 88 70 -18 70 -18

FMAX 4.89 1.00 20 1.00 20

F 25-75 3.00 0.30 10 0.30 10

F75-85 0.95 0.10 10 0.10 10

HbO2 70

Fibrosis quística

S=1, E=13, P=25, T=1.38, IMC:13.13

Fibrosis quística

REPOSO EJERCICIO O2

PaO2 35

PaCO2 29

pH 7.43

HbO2 70

Bronquitis crónica

Bronquitis crónica

PRED BASAL % POSBR %

FVC 3.73 3.17 13 3.17 13

FEV 3.26 2.45 11 2.45 11

REL 88 77 -18 77 -18

FMAX 6.67 6.00 15 6.00 15

F 25-75 3.67 2.00 8 2.00 8

F75-85 1.35 0.74 7 0.74 7

HbO2

Bronquitis crónica

S=1, E=14, P=39, T=1.55, IMC:16.23

Bronquitis crónica

REPOSO EJERCICIO O2

PaO2 66 402

PaCO2 27 18

pH 7.42 7.54

HbO2 94 99

CCA % 5.61

Bronquiolitis obliterante

PRED BASAL % POSBR %

FVC 3.29 2.25 68 2.25 68

FEV 2.88 1.16 40 1.16 40

REL 88 52 -36 52 -36

FMAX 5.98 4.30 72 4.30 72

F 25-75 3.36 0.40 12 0.40 12

F75-85 1.24 0.10 8 0.10 8

HbO2 94S=2, E=13, P=45, T=1.49, IMC:20.27

Bronquiolitis obliterante

Fibrosis quística

Fibrosis quística

PRED BASAL % POSBR %

FVC 3.66 1.85 51

FEV 3.20 1.21 38

REL 88 65 -23

FMAX 6.55 3.80 58

F 25-75 3.64 0.60 17

F75-85 1.33 0.20 15

HbO2 72S=2, E=14, P=40, T=1.54, IMC:16.87

Fibrosis quística

Fibrosis quística

Fibrosis quística

PRED BASAL % POSBR %

FVC 2.23 1.39 62 1.49 67

FEV 1.93 0.75 39 0.75 39

REL 87 54 -33 50 -36

FMAX 4.22 3.70 88 3.70 88

F 25-75 2.55 0.20 8 0.20 8

F75-85 0.89 0.07 8 0.07 8

HbO2 87

Fibrosis quística

Neumonía intersticial difusa

PRED BASAL % POSBR %

FVC 1.85 0.85 46 0.85 46

FEV 1.60 0.73 46 0.73 46

REL 86 86 0 86 0

FMAX 3.65 2.60 71 2.60 71

F 25-75 2.11 0.80 38 0.80 38

F75-85 0.88 0.30 34 0.30 34

HbO2 90

Neumonía intersticial difusa

S=1, E=6, P=38.5, T=1.22, IMC:25.87

Ca. metastático.

Ca. metastático.

Ca. metastático.

PRED BASAL % POSBR %

FVC 2.46 1.70 69 1.70 69

FEV 2.14 1.43 67 1.43 67

REL 87 84 -3 84 -3

PEF 4.54 5.20 114 5.20 114

F 25-75 2.87 2.10 73 2.10 73

F75-85 0.85 0.62 73 0.62 73

HbO2 94S=1, E=13, P=24.5, T=1.34, IMC: 13.64

Ca. metastático.

Neurofibromatosis múltiple

Neurofibromatosis múltiple

Neurofibromatosis múltiple

PRED BASAL % POSBR %

FVC 2.04 1.68 82 1.68 82

FEV 1.77 1.45 82 1.45 82

REL 87 86 -1 86 -1

PEF 3.78 3.70 98 3.70 98

F 25-75 2.65 2.40 90 2.40 90

F75-85 0.53 0.45 85 0.45 85

HbO2 94S=1, E=14, P=26.5, T=1.24, IMC: 17.23

Neurofibromatosis múltiple