Ulmer W T
Schweiz Med Wochenschr Suppl. 1983;15:47-50.
Some types of pneumoconiosis, such as asbestosis, are characterized by marked restrictive functional patterns. Treatment is begun when definite arterial hypoxemia appears, since the inhalation of oxygen clearly lowers pulmonary artery pressure. It is also important that the onset of concomitant airway obstruction is recognized promptly. From the sociomedical standpoint the most significant pneumoconiosis continues to be the miner's anthracosilicosis. The functional pattern of this pneumoconiosis is clearly airway obstruction, and such anthracosilicotic airway obstruction responds like all other forms of airway obstruction to antiobstructive therapy. The fundamentals of this therapy, which is based on the use of bronchodilators, adrenal cortical hormones and antibiotics, are described.
某些类型的尘肺病，如石棉沉着病，其特征为明显的限制性功能模式。当出现明确的动脉血氧不足时即开始治疗，因为吸氧明显可降低肺动脉压力。及时识别伴随的气道阻塞的发作也很重要。从社会医学角度来看，最重要的尘肺病仍然是矿工的煤矽肺。这种尘肺病的功能模式明显是气道阻塞，并且这种煤矽肺性气道阻塞与所有其他形式的气道阻塞一样，对抗阻塞治疗有反应。本文描述了这种基于使用支气管扩张剂、肾上腺皮质激素和抗生素的治疗的基本原理。
