Author/Editor | Fležar, Matjaž | |
Title | Funkcionalna diagnostika poklicne astme | |
Translated title | Diagnostic approach to a patient with suspected occupational asthma | |
Type | članek | |
Source | Sanitas et labor | |
Vol. and No. | Letnik 2, št. 1 | |
Publication year | 2002 | |
Volume | str. 15-24 | |
Language | slo | |
Abstract | Clinical history is not adequate for the diagnosis of occupational asthma. We need to perform objective lung function testing in order to document the variability and/or reversibility of airflow obstruction. This can be done by serial measurement of PEF and/or FEVI or bronchial provocation tests (metacholine and specific provocation tests). The appropriate timing for these tests during the symptomatic phase at work and after a period off work provides a clue to a correct diagnosis. | |
Summary | Anamneza je za postavitev diagnoze poklicne astme premalo. Potrebno je dokazati variabilnost in/ali reverzibilnost obstrukcije, to pa je možno le s serijskimi meritvami pretoka zraka (na primer PEF ali FEVI) ali z bronhialnimi provokacijskimi testi (metaholinski test, specifični provokacijski testi). Kombinacija izbranih preiskav v času simptomatike ob delu na delovnem mestu in v času odstranitve iz tega okolja nam pri postavitvi diagnoze najbolj pomaga. | |
Descriptors | ASTHMA OCCUPATIONAL DISEASES RESPIRATORY FUNCTION TESTS LUNG DISEASES, OBSTRUCTIVE SPIROMETRY FORCED EXPIRATORY VOLUME BRONCHIAL PROVOCATION TESTS METHACHOLINE CHLORIDE SPUTUM |