作者: Bruno Degano , Thibaud Soumagne
DOI: 10.1016/J.LPM.2014.05.019
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摘要: A spirometry with bronchodilator test is needed for the diagnosis of COPD. It recommended to detect COPD only in subjects symptoms (dyspnoea and/or chronic cough sputum production) and a history exposure risk factors disease (tobacco smoking occupational exposure). Measurement peak expiratory flow COPD, although simpler than conventional spirometry, allows detection most severe cases Specialist referral often useful establish presence incompletely reversible airflow obstruction, assess severity (using clinical questionnaires, plethysmography, exercise testing arterial blood gases when indicated) define future management. The level FEV1 associated individualized assessment evaluation exacerbation management strategy stable