Skip to main content
Log in

Die Ganzkörperplethysmographie

Bodyplethysmography

  • Lungenfunktions-Colloquium In Bochum, 10.11. Dezember 1965 B. Lungenfunktionsdiagnostische Methoden Und Deren Aussagekraft
  • Published:
Beiträge zur Klinik und Erforschung der Tuberkulose und der Lungenkrankheiten Aims and scope Submit manuscript

Zusammenfassung

Die Ganzkörperplethysmographie stellt ein zuverlässiges Verfahren zur Bestimmung des intrathorakalen Gasvolumens und des Strömungswiderstandes in den Atemwegen dar. Das Verfahren ist auch schwerkranken Patienten zumutbar. Die Ergebnisse sind gut reproduzierbar. Untersuchungen lassen sich auch an einem Tag wiederholt beim gleichen Patienten ohne wesentliche Belästigung durchführen. Bei Patienten mit erhöhten Strömungswiderständen kommt es zu typischen Schleifenbildungen der Druckströmungsbeziehung. Diese Resistanceschleifen geben einen guten Einblick in die Dynamik der Spontanatmung. Die Deutung der verschiedenen Kurvenformen wird besprochen. Homogene und inhomogene Obstruktionen sowie Druck-Strömungsgeschwindigkeits-Phasenwinkel lassen sich aus den Kurvenformen leicht ableiten.

Summary

The bodyplethysmography presents a reliable method to determine the intrathoracic gas volume and the flow resistance in the airways. The method is also applicable in case of seriously ill patients. The results are well reproducible. It is possible to carry out repeatedly examinations on the same patient on one day too without essential inconvenience for him. In patients with increased flow resistances it comes to typical loop formations of the pressure flow relation. These resistance loops give a good insight into the dynamics of spontaneous breathing. The interpretation of the different curve shapes is discussed. Homogeneous and inhomogeneous obstructions as well as pressure flow velocity phaes angles can be easily derived from the shapes of the curves.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Literatur

  1. Bedell, G. N., R. Marshall, A. B. DuBois, andJ. H. Comroe jr.: Plethysmographic determination of the volume of gas trappes in the lungs. J. clin. Invest.35, 664 (1956).

    PubMed  Google Scholar 

  2. Bosman, A. R., A. J. Honour, G. J. de Lee, R. Marshall, andF. D. Stott: A method for measuring instantaneous pulmonary capillary bloodflow and right ventricular stroke volume in man. Clin. Sci.26, 247 (1964).

    PubMed  Google Scholar 

  3. Dautrebande, L., F. Lovejoy, andH. Constantine: Comparative study of some methods used for determining constriction and dilation of the airways after administering pharmacological or dust aerosols. Sensitivity of the plethysmographic method. Arch. int. Pharmacodyn.129, 469 (1960).

    Google Scholar 

  4. DuBois, A. B., S. Y. Botelho, andJ. H. Comroe: A new method for measuring airway resistance in man using a body plethysmograph: values in normal subjects and in patients with respiratory disease. J. clin. Invest.35, 327 (1956).

    PubMed  Google Scholar 

  5. ——, andJ. H. Comroe: A rapid plethysmographic method for measuring thoracic gas volume: a comparison with a nitrogen washout method for measuring functional residual capacity in normal subjects. J. clin. Invest.35, 322 (1956).

    PubMed  Google Scholar 

  6. Gad, J.: zitiert bei Pflüger, E: Das Pneumometer. Pflügers Arch. ges. Physiol.29, 244 (1882). Vers. dtsch. Naturforsch. u. Ärzte Salzburg 1881, Tgbl. 54, S. 117.

    Google Scholar 

  7. Lee, G.de J., andA. B. DuBois: Pulmonary capillary blood flow in man. J. clin. Invest.34, 1380 (1955).

    PubMed  Google Scholar 

  8. Lloyd, Th. C., andG. W. Wright: Evaluation of methods used in detecting changes of airway resistance in man. Amer. Rev. resp. Dis.87, 529 (1963).

    PubMed  Google Scholar 

  9. Lovejoy, F. W., H. Constantine, J. Flatley, N. Kaltreider, andL. Dautrebande: Measurement of gas trapped in the lungs during acute changes in airway resistance in normal subjects and in patients with chronic pulmonary disease. Amer. J. med.30, 884 (1961).

    PubMed  Google Scholar 

  10. Pflüger, E.: Das Pneumometer. Pflügers Arch. ges. Physiol.29, 244 (1882).

    Google Scholar 

  11. Ross, J. C., D. E. Copher, J. D. Teays, andTh. J. Lord: Functional residual capacity in patients with pulmonary emphysema. A comparative study using gas dilution and plethysmographic techniques for measurement. Ann. int. Med.57, 18 (1962).

    PubMed  Google Scholar 

  12. Tierney, D. F., J. A. Nadel, andJ. H. Comroe jr.: Total (“plethysmopraphic”) and communicating (“washout”) lung volumes in patients with emphysema. Clin. Res.9, 76 (1961).

    Google Scholar 

  13. —— Concurrent measurements of functional residual capacity by three methods. J. appl. Physiol.17, 871 (1962).

    PubMed  Google Scholar 

  14. Ulmer, W. T., u.E. Reif: Die obstruktiven Erkrankungen der Atemwege. Dtsch. med. Wschr.90, 1803 (1965).

    PubMed  Google Scholar 

  15. —— u.W. Weller: Die obstruktiven Atemwegserkrankungen. Stuttgart: Georg Thieme 1966.

    Google Scholar 

  16. Wick, R., M. J. Jaeger u.M. Scherrer: Vor-und Nachteile der Körperplethysmographie als klinische Lungenfunktionsprüfung. Med. thorac.21, 315 (1964).

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Podlesch, I., Ulmer, W.T. Die Ganzkörperplethysmographie. Beitr. Klin. Tuberk. 133, 305–311 (1966). https://doi.org/10.1007/BF02120691

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02120691

Navigation