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[家庭医生需要多少肺部诊断知识?]

[How much pulmonary diagnostics does the family physician need?].

作者信息

Haidl Peter, Köhler Dieter

机构信息

Abt. Pneumologie, Beatmungs- und Schlafmedizin, Fachkrankenhaus Kloster Grafschaft, Schmallenberg.

出版信息

MMW Fortschr Med. 2007 Mar 15;149(11):28-31; quiz 32.

Abstract

Spirometry plays the major role in pulmonary diagnostics in the family practice, but is still used much too rarely on patients with respiratory symptoms. Every patient with shortness of breath or a chronic, persistent cough should have spirometry performed. Needless to say, taking a selective medical history and auscultation of the lungs and heart are additional, important pillars for making a diagnosis. Measurement of the peak expiratory flow (PEF) can be especially helpful in emergencies. Pulse oxymetry also aids in the assessment of acute situations and additionally, can provide valuable information in the follow-up treatment of chronic respiratory diseases.

摘要

肺活量测定在家庭医疗的肺部诊断中起着主要作用,但在有呼吸道症状的患者中使用频率仍然过低。每个有呼吸急促或慢性持续性咳嗽的患者都应进行肺活量测定。不用说,进行选择性病史采集以及肺部和心脏听诊是做出诊断的另外两个重要支柱。呼气峰值流速(PEF)的测量在紧急情况下可能特别有用。脉搏血氧饱和度测定也有助于评估急性情况,此外,还可为慢性呼吸道疾病的后续治疗提供有价值的信息。

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