問題詳情

19. 關於 COPD dynamic hyperinflation, 以下何者錯誤?
(A) COPD 病患運動時,tidal loop 較正常人左移,會碰到 maximal flow- volume curve 的邊緣,所以有 flow limitation
(B) dynamic hyperinflation 對於 hemodynamic 的影響,會造成 VO2/HR 下降
(C) dynamic hyperinflation 會造成 運動時 locomotor muscle 更早 fatigue
(D) COPD 患者合併肺高壓(mean PAP >40mmHg), 造成運動的限制,主因是 impairedcirculatory function

參考答案

答案:C
難度:計算中-1
書單:沒有書單,新增

用户評論

.】評論

(A) 正確,Patients with severe COPD may exhibit flow limitation even at rest, as reflected by the fact that they breathe tidally along or above their maximal flow-volume curve.(B) 正確,Resting hyperinflation (inspiratory capacity/total lung capacity) is associated with lower oxygen pulse, peak exercise inspiratory capacity/total lung capacity and exercise capacity in patients with severe COPD.(C) 錯誤,the high susceptibility to locomotor muscle fatigue in patients with COPD is in part attributable to insufficient O2 transport as a consequence of exaggerated arterial hypoxemia and/or excessive respiratory muscle work but also support a critical role for the well-known altered intrinsic muscle characteristics in these patients.(D) 正確,cardiovascular impairment might influence the results of timed walking tests and whether these tests might be sensitive enough for the assessment of pulmonary hypertension treatment in patients with COPD and pulmonary hypertension.REF: Pulm Med. 2012;2012:234145.Eur Respir J. 2008 Nov;32(5):1275-82.Am J Physiol Regul Integr Comp Physiol. 2010 Jul;299(1):R314-24.Eur Respir J. 2003 May;21(5):892-905.