単回呼気法による一酸化炭素の肺拡散能評価におけるDLCOおよびKCOの重要指標
Masafumi Yamamoto1, Masaharu Nishimura2, Kaoruko Shimizu3
1Division of Laboratory and Transfusion Medicine, Hokkaido University Hospital, North 14 West 5, Kita-ku, Sapporo, 060-8648, Japan.
Abstract:
The measurement of diffusing capacity of the lung for carbon monoxide (DLCO) is an invaluable pulmonary function test for assessing gas exchange in the lungs. Typically, the test is conducted via the single-breath method, wherein after maximum inhalation of carbon monoxide and helium simultaneously, the breath is held for 10 s. The test provides the single value of DLCO, and sometimes, the DLCO corrected by alveolar volume (VA) at the measurement. However, DLCO is the product of two independent components in reality-the transfer coefficient for carbon monoxide (KCO) and VA. Conventionally, KCO has often been expressed as DLCO/VA. In this report, we will demonstrate the change in relationship of DLCO with KCO uniquely and characteristically due to emphysema, fibrosis, and their combined disease. Therefore, the assessment of both indices is highly desirable in the precise interpretation of the test. The term "KCO" is preferable to DLCO/VA to avoid misleading.
さらに関連する動画
関連する概念動画
Lung Capacity
Indicators
Breathing
Respiratory Assessment: Purpose and Indications
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Assessment of Diffusion and Perfusion
The Role of Diffusion in Respiration
Diffusion is the process by which molecules move from an area of higher concentration to an area of lower concentration. In the respiratory system, this...
Diffusion


