Lung Function Testing in Chronic Obstructive Pulmonary Disease

被引：15

作者：

Neder, J. Alberto ^{[1
]}

de-Torres, Juan Pablo ^{[1
]}

Milne, Kathryn M. ^{[1
,2
]}

O'Donnell, Denis E. ^{[1
]}

机构：

[1] Queens Univ, Kingston Hlth Sci Ctr, Dept Med, Div Resp Med, Richardson House,102 Stuart St, Kingston, ON K7L 2V6, Canada

[2] Univ British Columbia, Dept Med, Clinician Investigator Program, Vancouver, BC, Canada

来源：

CLINICS IN CHEST MEDICINE | 2020年 / 41卷 / 03期

关键词：

Lung function; Dyspnea; COPD; Exertion; Diagnosis; Pulmonary function tests; FORCED OSCILLATION TECHNIQUE; VOLUME REDUCTION SURGERY; TRANSFER-COEFFICIENT KCO; CARBON-MONOXIDE; DYNAMIC HYPERINFLATION; RESPIRATORY MUSCLE; EXERTIONAL DYSPNEA; GAS-EXCHANGE; VENTILATORY INEFFICIENCY; BRONCHODILATOR RESPONSE;

D O I：

10.1016/j.ccm.2020.06.004

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Lung function testing has undisputed value in the comprehensive assessment and individualized management of chronic obstructive pulmonary disease, a pathologic condition in which a functional abnormality, poorly reversible expiratory airway obstruction, is at the core of its definition. After an overview of the physiologic underpinnings of the disease, the authors outline the role of lung function testing in this disease, including diagnosis, assessment of severity, and indication for and responses to pharmacologic and nonpharmacologic interventions. They discuss the current controversies surrounding test interpretation with these purposes in mind and provide balanced recommendations to optimize their usefulness in different clinical scenarios. © 2020 Elsevier Inc.

引用

页码：347 / 366

页数：20

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