Magnussen H, Stöcker U, Klingelhöfer F, Krück F
Dtsch Med Wochenschr. 1981 Apr 24;106(17):534-8. doi: 10.1055/s-2008-1070351.
The value of routine spirometry was investigated in 631 unselected out-patients. The spirogram was abnormal in 17%, the ECG in 15% and the chest X-ray in 13% of patients. Pathological spirograms correlated mainly with mild or moderate obstructive ventilatory disturbances (80%) which were associated with clinical findings in only 74%. In the ECG, disturbances of repolarisation were more common (71%) than those of stimulation and conduction (29%) and were associated with clinical findings in 65%. In 91% of patients with pathological chest radiograms other investigations had indicated the necessity for an X-ray. Thus spirometry is, in addition to ECG and chest X-ray, a useful routine method. As disorders of the lung function are not always predictable by smoking habits, spirometry offers the possibility for early detection of symptom-free disease of the lung and respiratory tract.
对631名未经挑选的门诊患者进行了常规肺量计检查的价值研究。患者中，17%的肺功能图异常，15%的心电图异常，13%的胸部X光片异常。病理性肺功能图主要与轻度或中度阻塞性通气障碍相关（80%），而这些障碍仅74%与临床症状相关。在心电图方面，复极化障碍比刺激和传导障碍更常见（71%对29%），且65%与临床症状相关。在胸部X光片病理性改变的患者中，91%的其他检查表明有进行X光检查的必要。因此，除心电图和胸部X光片外，肺量计检查也是一种有用的常规方法。由于肺功能障碍并不总是能通过吸烟习惯预测，肺量计检查为早期发现无症状的肺部和呼吸道疾病提供了可能。
