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.
The diagnosis of chronic obstructive pulmonary disease ( COPD ) should be comprehensive consideration of the patient's medical history, symptoms and signs and clinical examination. Any have dififculty breathing, chronic cough and expectoration and has a history of exposure to risk factors for disease patients should be considered for COPD. Lung function is required. Is to diagnose COPD gold standard. And attaches great importance to the family. Biological markers of CRP and PCT, Nampt, TNF, ET - 1 - a, IL - 6, IL- 8 has important signiifcance to the diagnosis of COPD. X-ray chest radiograph mainly as to determine the pulmonary complications and with other lung diseases identiifcation purposes. The differential diagnosis of CT cases of doubt and condition assessment has a certain signiifcance. Blood gas check, sputum culture has certain reference value to the diagnosis of COPD.