casos patológicos del servicio de fisiología pulmonar de niÑos

CASOS PATOLOGICOS DEL SERVICIO DE

FISIOLOGIA PULMONAR

PEDIATRICOS

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


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


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


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


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


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


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


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


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


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


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


REPOSO EJERCICIO O2

PaO2 68

PaCO2 30

pH 7.40

HbO2 92


Estenosis traqueal


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 %


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


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


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


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


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


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.


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


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

casos patológicos del servicio de fisiología pulmonar de niÑos

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