Analysis of the Diagnosis and Treatment of a Chronic Obstructive Pulmonary Disease Case

doi:10.12114/j.issn.1007-9572.2018.00.092

Abstract

Abstract: In this paper，we analyzed the clinical data of a patient with chronic obstructive pulmonary disease，discussed the effects of diagnostic accuracy and normative treatment on patient prognosis，and reviewed the differences in diagnosis，treatment，and management strategies regarding chronic bronchitis and chronic obstructive pulmonary disease．The cause of the patient's disease progression was analyzed to improve the standardization of diagnosis and treatment of this disease by community practitioners.

Key words: Pulmonary disease, chronic obstructive；Bronchitis, chronic；Diagnosis；Therapy

摘要： 本文通过分析1例慢性阻塞性肺疾病患者的临床资料，探讨慢性阻塞性肺疾病诊断准确性、治疗规范性对患者的影响，从患者病情进展原因分析中论述慢性支气管炎与慢性阻塞性肺疾病的诊断差异及治疗策略，以期促进社区医生对慢性阻塞性肺疾病诊治规范化。

关键词: 肺疾病, 慢性阻塞性；支气管炎, 慢性；诊断；治疗

DUAN Jing,LI Fan,SUN Huifen. Analysis of the Diagnosis and Treatment of a Chronic Obstructive Pulmonary Disease Case　[J]. Chinese General Practice, 2019, 22(6): 744-746. DOI: 10.12114/j.issn.1007-9572.2018.00.092.
段静,李凡,孙惠芬. 慢性阻塞性肺疾病一例诊治分析[J]. 中国全科医学, 2019, 22(6): 744-746. DOI: 10.12114/j.issn.1007-9572.2018.00.092.

References

［1］陈亚红.2018年GOLD慢性阻塞性肺疾病诊断、治疗及预防全球策略解读［J］．中国医学前沿杂志（电子版），2017，9（12）：15-22．DOI：10.12037/yxqy.2017.01-06.
［2］蔡柏蔷.慢性阻塞性肺疾病诊断、处理和预防全球策略（2017 GOLD报告）解读［J］．国际呼吸杂志，2017，37（14）：1041-1057．DOI：10.3760/cma.j.issn.1673-436X.2017.01.002.
CAI B Q.Global strategy for the diagnosis，management，and prevention of COPD.Updated 2017［J］．International Journal of Respiration，2017，37（14）：1041-1057．DOI：10.3760/cma.j.issn.1673-436X.2017.01.002.
［3］钟南山.早发现、早诊断和早干预应是我国慢性阻塞性肺疾病防治的主要研究方向［J］．中华结核和呼吸杂志，2012，35（4）：243-245．DOI：10.3760/cma.j.issn.1001-0939.2012.04.002.
2017，9（12）：23-27．DOI：10.12037/YXQY.2017.12-06.
［4］于润江，周新，谭朴泉.慢性阻塞性肺病诊治的新观念［J］．中国实用内科杂志，1996，16（8）：449-462.
［5］姚婉贞.慢性阻塞性肺疾病诊治指南（2013年修订版）［J］．中华结核和呼吸杂志，2013，36（4）255-364，DOI：10.3760/cma.j.issn.1001-0939.2013.04.007.
［6］蔡柏蔷.慢性阻塞性肺疾病诊断、处理和预防全球策略（2011年修订版）解读［J］．中华结核和呼吸杂志，2012，35（4）：249-256．DOI：10.3760/cma.j.issn.1001-0939.2012.04.005.
［7］谭朴泉.慢性阻塞性肺疾病（COPD）诊治规范（草案）［J］．中华结核与呼吸杂志，1997，20（4）：199-203.
［8］蔡柏蔷.慢性阻塞性肺疾病急性加重（AECOPD）诊治中国专家共识（2017年更新版）［J］．国际呼吸杂志，2017，37（14）：1041-1057．DOI：10.3760/cma.j.issn.1673-436X.2017.14.001.
［9］贾国华.2017年西班牙慢性阻塞性肺疾病指南解读［J］．中国医学前沿杂志，2017，9（12）：23-27．DOI：10.12037/YXQY.2017.12-06.
JIA G H.Interpretation of Spanish guidelines for management of chronic obstructive pulmonary disease （GesEPOC） 2017［J］．Chinese Journal of The Frontiers of Medical Science，2017，9（12）：23-27．DOI：10.12037/YXQY.2017.12-06.

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