The Role of the Pulmonary Function Laboratory in Patients with Bronchial Asthma

作者: Richard E. Kanner , Suetaro Watanabe

DOI: 10.1007/978-1-4612-0297-4_5

关键词: BronchospasmOccupational asthmaSpirometryAsthmaPulmonary function testingIntensive care medicineVital capacityExercise-Induced BronchospasmMedicineAirway obstruction

摘要: Spirometry is a dynamic test that provides the best assessment of obstructive airway disease. The most useful value spirogram maximum volume air can be expelled with forced expiration following maximal inspiratory effort, FEV1. Lung measurements are static studies and less in assessing obstruction, but demonstrate presence pulmonary overinflation. The carbon monoxide diffusing capacity help distinguish between asthma emphysema patients smoke. Arterial blood gas assess consequences bronchospasm provide guide for hospitalizing exacerbation. Nonspecific bronchoprovocation challenge testing methacholine or other agents, may diagnose when clinical picture unclear. Bronchoprovocation using specific agents because substances work place. Exercise evaluate patient as “whole” dyspnea caused by respiratory diseases cardiac disease and/or deconditioning. Exercise document exercise induced benefits rehabilitation program limited asthma. Standardization technique rigid quality control an absolute necessity any laboratory.

参考文章(27)
Gary T Kinasewitz, Steven A Conrad, Ronald B George, Pulmonary function testing : principles and practice C. Livingstone. ,(1984)
Alan H. Morris, Clinical pulmonary function testing : a manual of uniform laboratory procedures Intermountain Thoracic Society. ,(1984)
J. Pepys, B. J. Hutchcroft, Bronchial Provocation Tests in Etiologic Diagnosis and Analysis of Asthma1 The American review of respiratory disease. ,vol. 112, pp. 829- ,(2015) , 10.1164/ARRD.1975.112.6.829
Robert O. Crapo, Alan H. Morris, Reed M. Gardner, Reference spirometric values using techniques and equipment that meet ATS recommendations. The American review of respiratory disease. ,vol. 123, pp. 659- 664 ,(2015) , 10.1164/ARRD.1981.123.6.659
Beth Dauphinee, Donald P. Tashkin, Matthew E. Conolly, Enoch Lee, Robert Newcomb, Ka Kit Hui, Rebound hyperresponsiveness to muscarinic stimulation after chronic therapy with an inhaled muscarinic antagonist. The American review of respiratory disease. ,vol. 132, pp. 12- 15 ,(2015) , 10.1164/ARRD.1985.132.1.12
Ann J. Woolcock, John Read, Lung volumes in exacerbations of asthma The American Journal of Medicine. ,vol. 41, pp. 259- 273 ,(1966) , 10.1016/0002-9343(66)90021-0
Richard W. Light, Steven A. Conrad, Ronald B. George, The one best test for evaluating the effects of bronchodilator therapy. Chest. ,vol. 72, pp. 512- 516 ,(1977) , 10.1378/CHEST.72.4.512
Robert O. Crapo, Pulmonary-Function Testing New England Journal of Medicine. ,vol. 331, pp. 25- 30 ,(1994) , 10.1056/NEJM199407073310107
E F Juniper, P A Frith, C Dunnett, D W Cockcroft, F E Hargreave, Reproducibility and comparison of responses to inhaled histamine and methacholine. Thorax. ,vol. 33, pp. 705- 710 ,(1978) , 10.1136/THX.33.6.705
John L. Hankinson, Reed M. Gardner, Standardization of Spirometry The American review of respiratory disease. ,vol. 137, pp. 493- 494 ,(1988) , 10.1164/AJRCCM/137.2.493C