我将如何管理一名症状轻微且急性加重风险较低的慢性阻塞性肺疾病患者：来自澳大利亚的基层医疗视角
How I would manage a man with COPD who has few symptoms and is at low risk of an exacerbation: a primary care perspective from Australia.
作者信息
Zwar Nicholas
机构信息
School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia.
出版信息
Prim Care Respir J. 2012 Dec;21(4):442-3. doi: 10.4104/pcrj.2012.00097.
Abstract
Clinical scenario At a routine medical examination a 44 year-old bricklayer who has smoked 20 cigarettes a day since his mid-teens admits that recently he has been more breathless than usual on heavy work. After an episode of bronchitis last winter he attended for spirometry which confirmed moderate COPD with an FEV/FVC ratio of 0.65 and a post-bronchodilator FEV of 78% predicted. He was offered smoking cessation advice but did not attend the follow-up appointments offered. He is on no medication.
摘要
临床病例
在一次常规体检中，一名44岁的砖瓦工自十几岁起每天吸烟20支，他承认最近在从事繁重工作时比平时更容易气喘。去年冬天患了一次支气管炎后，他接受了肺功能测定，结果证实患有中度慢性阻塞性肺疾病（COPD），FEV/FVC比值为0.65，支气管扩张剂后FEV为预测值的78%。他接受了戒烟建议，但没有参加提供的后续预约。他未服用任何药物。
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