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慢性阻塞性肺病(COPD)的诊断应综合考虑患者的病史、症状体征及临床检查等。任何有呼吸困难,慢性咳嗽咳痰和有暴露于危险因素史的患者均应考虑为COPD。肺功能检查是必需的,是诊断COPD的金标准。并需重视家族史。生物学标志物CRP、PCT、Nampt、ET-1、TNF-a、IL-6、IL-8等对COPD的诊断有一定意义。X线胸片主要作为确定肺部并发症及与其他肺疾病鉴别之用。CT对有疑问病例的鉴别诊断和病情评估有一定意义。血气检查、痰培养等手段对COPD的诊断均有一定参考价值。
Chronic obstructive pulmonary disease (COPD) diagnosis should be taken into account the patient’s medical history, symptoms and signs and clinical examination. Anyone with dyspnea, chronic cough, expectoration, and exposure to a history of risk factors should be considered COPD. Pulmonary function tests are necessary and the gold standard for the diagnosis of COPD. And need to pay attention to family history. The biomarkers CRP, PCT, Nampt, ET-1, TNF-a, IL-6 and IL-8 have certain significance in the diagnosis of COPD. X-ray chest mainly for the identification of pulmonary complications and other lung diseases used to identify. CT of the suspected cases of differential diagnosis and disease evaluation of some significance. Blood gas examination, sputum culture and other means of diagnosis of COPD have some reference value.