Kummer F
Aktuelle Gerontol. 1979 Nov;9(11):505-9.
Airflow obstruction is not a clinical entity. The presence of obstruction has to be documented, at least by a timed forced vital capacity. Consequently, information must be sought about the quality and severness of the functional disturbance (pathogenesis, reversibility by medication, follow-ups). Because of the great number of possible irritants and responses, the differentiation of bronchial and extrabronchial obstruction is of great importance for the elderly patient (bronchitis plus emphysema?). The impact of other disorders on the bronchi is being discussed (e.g. pulmonary embolism, left heart failure). These considerations should be part of the routine before therapy is being initiated.
气流阻塞并非一种临床实体。必须记录阻塞的存在，至少要通过定时用力肺活量来记录。因此，必须了解功能障碍的性质和严重程度（发病机制、药物可逆性、随访情况）。由于可能的刺激物和反应种类繁多，区分支气管内和支气管外阻塞对老年患者非常重要（支气管炎合并肺气肿？）。正在讨论其他疾病对支气管的影响（如肺栓塞、左心衰竭）。在开始治疗之前，这些考虑因素应成为常规检查的一部分。
