Schlegel V
Poliklinischen Abteilung für Lungenkrankheiten und Tuberkulose, Kreispoliklinik Hohenmölsen.
Z Gesamte Inn Med. 1989 Jun 15;44(12):365-6.
With regard to a differentiated therapy it is necessary to demarcate the clinical picture of the bronchial asthma early from the other chronic (obstructive) pulmonary diseases. Despite subtle anamnestic statement, careful clinical examination and simple functional tests of the lung in individual cases a clear diagnostic coordination and differential-diagnostic demarcation, respectively, cannot be performed. Before the use of further proceeding bronchologic and allergologic investigation techniques the questioning after nocturnal attacks of hacking cough is recommended which in our own clinical material could be proved in the phase of manifestation in 139 of 162 patients with bronchial asthma.
关于差异化治疗,有必要尽早将支气管哮喘的临床表现与其他慢性(阻塞性)肺部疾病区分开来。尽管在个别病例中有细微的既往史陈述、仔细的临床检查和简单的肺功能测试,但分别进行明确的诊断协调和鉴别诊断划分仍是无法做到的。在使用进一步的支气管学和变应性学检查技术之前,建议询问夜间干咳发作情况,在我们自己的临床资料中,162例支气管哮喘患者中有139例在发病阶段证实有此症状。