Gillissen A, Jürgens U
Robert-Koch-Klinik, Klinikum St Georg, Leipzig.
MMW Fortschr Med. 2006 Mar 16;148(11):42, 44, 46.
The basic diagnostic work-up including history-taking, clinical findings, and simple functional tests alone, suffices to enable the family doctor to rapidly differentiate between an obstructive and a restrictive pulmonary disease. This in particular by determining the "Tiffenau index", the ratio of the forced expiratory volume FEV1 to the forced vital capacity FVC (FEV1/ FVC). The question as to whether an obstructive condition is due to COPD or bronchial asthma is decided on the basis of the bronchospasmolytic test to determine the reversibility of the airways obstruction.
基本的诊断检查，包括单独的病史采集、临床检查结果和简单的功能测试，足以使家庭医生迅速区分阻塞性和限制性肺病。特别是通过确定“蒂费诺指数”，即用力呼气量FEV1与用力肺活量FVC的比值（FEV1/FVC）。关于阻塞性疾病是由慢性阻塞性肺疾病（COPD）还是支气管哮喘引起的问题，是根据支气管解痉试验来确定气道阻塞的可逆性来决定的。
