Kroemer B
Fachkrankenhaus-Klinik für kardiorespiratorische Rehabilitation, Pulsnitz.
Z Gesamte Inn Med. 1988 Jun 1;43(11):296-9.
The term obstructive lung disease is applied to a group of diseases of different nosology and pathogenesis with the common feature of a characteristic disturbance of the respiratory function consisting in increased resistance of air flow with dyspnoea as the leading clinical symptom. With regard to a differentiated therapy, it is necessary to distinguish precisely between the entities chronic bronchitis, bronchial asthma, emphysema. Meticulous anamnesis, careful clinical examination, basic lung function tests, x-ray examination, electrocardiographic and laboratory examinations, and eventually bronchologic and allergologic methods are sufficient in outpatient and general internal hospital care for a reliable classification and differentiation from a broad spectrum of causes of obstructive symptomatology located outside from the airways.
阻塞性肺疾病这一术语适用于一组病因分类和发病机制不同的疾病，其共同特征是呼吸功能出现特征性障碍，表现为气流阻力增加，以呼吸困难为主要临床症状。关于差异化治疗，必须准确区分慢性支气管炎、支气管哮喘、肺气肿等疾病实体。详细的病史采集、仔细的临床检查、基本的肺功能测试、X线检查、心电图和实验室检查，以及最终的支气管镜和过敏学检查，在门诊和普通内科住院治疗中足以对阻塞性症状的广泛病因进行可靠的分类和鉴别，这些病因位于气道之外。
