Chronic Obstructive Pulmonary Disease

被引：367

作者：

Labaki, Wassim W. ^{[1
]}

Rosenberg, Sharon R. ^{[2
]}

机构：

[1] Univ Michigan, Ann Arbor, MI 48109 USA

[2] Northwestern Univ, Chicago, IL 60611 USA

来源：

ANNALS OF INTERNAL MEDICINE | 2020年 / 173卷 / 03期

关键词：

PNEUMOCOCCAL POLYSACCHARIDE VACCINE; AMERICAN THORACIC SOCIETY; AIR-FLOW OBSTRUCTION; ALPHA-1-ANTITRYPSIN DEFICIENCY; UPDATED RECOMMENDATIONS; LUNG TRANSPLANTATION; ACUTE EXACERBATIONS; CHRONIC-BRONCHITIS; SMOKING-CESSATION; RANDOMIZED-TRIAL;

D O I：

10.7326/AITC202008040

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Chronic obstructive pulmonary disease(COPD) is characterized by persistent respiratory symptoms and progressive airflow obstruction. Tobacco smoking is the leading cause but not the only one. A postbronchodilator FEV1–FVC ratio less than 0.70 is required for a diagnosis of COPD. Inhaler therapy is the backbone of treatment and should be complemented by a multifaceted management strategy that includes counseling and pharmacotherapy for smoking cessation, pulmonary rehabilitation, treatment of comorbidities, administration of influenza and pneumococcal immunizations, and prescription of long-term oxygen therapy in hypoxemic patients. © 2020 American College of Physicians

引用

页码：ITC17 / ITC30

页数：14

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