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Zdravljenje kronične obstruktivne pljučne bolezni = Managing chronic obstructive pulmonary disease
Lopert, Anton
Background. Despite the fact that Chronic Obstructive Pulmonary Disease (COPD)is a major cause of morbidity and mortality throughout the world and it is increasing in prevalence, the disease has ...received relatively little attention from the medical profession and from the pharmaceutical industry so far. Recently its importance had been recognised in many countries. This has resulted in the formulation of treatment guidelines and an investment in research. Methods. Differences between COPD and asthma, clinical features, a way to correct diagnosis and management of COPD according to GOLD guidelines are shown. A questionnaire for chronic smokers about respiratory symptoms is introduced in the article. Conclusions. As the disease often goes unrecognisedor it is recognised only in late, severe form, making the correct diagnosis is one of the most important things a physician can do for a COPD patient. Lung function tests are necessary for diagnosis, assessment of severity and following the course of the disease. Therefore it is recommended that spirometry should become routine diagnostic method in smokers, absolute necessary in case of chronic cough, sputum and dyspnea.
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