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肺功能测试在临床决策中的应用。

Lung function tests in clinical decision-making.

机构信息

Pruebas de Función Respiratoria y Broncoscopia, Hospital General Gregorio Marañón, Universidad Complutense de Madrid, Madrid, Spain.

出版信息

Arch Bronconeumol. 2012 May;48(5):161-9. doi: 10.1016/j.arbres.2011.12.012. Epub 2012 Feb 24.

DOI:10.1016/j.arbres.2011.12.012
PMID:22364671
Abstract

In this article, we review the utility of the most common lung function tests (spirometry, reversibility test, peak expiratory flow, lung volumes, maximal respiratory pressure, carbon monoxide transference, arterial blood gas, 6-minute walk test and desaturation with exercise and ergospirometry) related to the most frequent pathologies (dyspnea of undetermined origin, chronic cough, asthma, COPD, neuromuscular diseases, interstitial diseases, pulmonary vascular diseases, pre-operative evaluation and disability evaluation). Our analysis has been developed from the perspective of decision-making, clinical interpretation or aspects that the physician should take into account with their use. Consequently, the paper does not deal with aspects of quality, technique or equipment, with the exception of when regarding costs as we believe that this is an important element in the decision-making process. The document is extensively supported by references from the literature.

摘要

在本文中,我们回顾了最常见的肺功能测试(肺活量测定、可逆性试验、呼气峰流速、肺容积、最大呼吸压力、一氧化碳传递、动脉血气、6 分钟步行试验和运动时的血氧饱和度下降以及运动肺功能测定)在最常见的病理学(不明原因的呼吸困难、慢性咳嗽、哮喘、COPD、神经肌肉疾病、间质性疾病、肺血管疾病、术前评估和残疾评估)中的应用。我们的分析是从决策、临床解释或医生在使用这些测试时应考虑的方面的角度出发的。因此,本文不涉及质量、技术或设备方面的内容,但在涉及成本时除外,因为我们认为这是决策过程中的一个重要因素。本文广泛参考了文献中的参考文献。

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Lung function tests in clinical decision-making.肺功能测试在临床决策中的应用。
Arch Bronconeumol. 2012 May;48(5):161-9. doi: 10.1016/j.arbres.2011.12.012. Epub 2012 Feb 24.
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Assessing lung function.评估肺功能。
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