Steinbrück P
Z Erkr Atmungsorgane. 1976 Mar;144(3):187-93.
Acute and chronic respiratory diseases amount to a remarkable portion of all cases and days of disability. The systematic care especially for the chronic respiratory diseases has become the task of the Out Patient Departments of Pulmonary Diseases and Tuberculosis in cooperation with the general practitioners and physicians for industrial medicine. The diagnostics of chronic respiratory diseases among which more than the half of all cases gets to chronic bronchitis, pulmonary emphysema and bronchial asthma has still to be qualified. Function testing allows to subdivide chronic bronchitis in nonobstructive and obstructive forms and to gain measurable and comparable assessments of cardiopulmonary limitations of efficiency. By oxyergotensiometry and examination of the diffusion capacity disturbances of ventilation, perfusion and diffusion and combinations of these can be analyzed by blood-gas analysis, ergometric examination and testing of diffusion capacity. Those investigations can be supplemented by determination of breathing mechanics. The development of cardiorespiratory function testing will take place step by step in different levels of accomplishment. These levels have to cooperate for getting an optimal picture of a disease. The extension of the methods of pulmonary function testing in the lung hospitals and the chest clinics since 1970 is reported.
急慢性呼吸道疾病在所有病例和致残日中占相当大的比例。特别是对慢性呼吸道疾病的系统护理已成为肺病和结核病门诊与全科医生及工业医学医生合作的任务。慢性呼吸道疾病的诊断仍有待完善，其中一半以上的病例为慢性支气管炎、肺气肿和支气管哮喘。功能测试可以将慢性支气管炎分为非阻塞性和阻塞性两种类型，并对心肺功能受限情况进行可测量和可比的评估。通过氧张力测定法以及对通气、灌注和弥散的弥散能力障碍进行检查，可通过血气分析、测力计检查和弥散能力测试对这些障碍及其组合进行分析。这些检查可通过呼吸力学测定加以补充。心肺功能测试的发展将在不同的完成水平上逐步进行。这些水平必须相互配合，以获得疾病的最佳情况。报告了自1970年以来肺科医院和胸科诊所肺功能测试方法的扩展情况。
