Levy Mark L, Fletcher Monica, Price David B, Hausen Thomas, Halbert Ron J, Yawn Barbara P
Division of Community Health Sciences: GP Section, University of Edinburgh, 20 West Richmond Street, Edinburgh EH8 9DX, UK.
Prim Care Respir J. 2006 Feb;15(1):20-34. doi: 10.1016/j.pcrj.2005.10.004. Epub 2005 Dec 27.
This Diagnosis paper constitutes the second of the IPCRG Guideline papers on the management of chronic respiratory diseases in primary care. Primary care health professionals are usually the first point of contact for patients who can present a wide range of initial symptoms which may or may not constitute their first presentation of a chronic disease such as asthma, COPD, or rhinitis. This paper is focussed upon the early identification and diagnosis of chronic respiratory diseases in primary care. It uses a symptom-based approach, and includes original questionnaires and diagnostic guides to help the primary care clinician proceed systematically through the diagnostic process.
本诊断文件是国际初级保健呼吸组(IPCRG)关于初级保健中慢性呼吸道疾病管理的指南文件中的第二篇。初级保健卫生专业人员通常是患者的首个接触点,这些患者可能会出现各种各样的初始症状,这些症状可能构成也可能不构成其诸如哮喘、慢性阻塞性肺疾病(COPD)或鼻炎等慢性疾病的首次表现。本文重点关注初级保健中慢性呼吸道疾病的早期识别和诊断。它采用基于症状的方法,并包括原始问卷和诊断指南,以帮助初级保健临床医生系统地进行诊断过程。