文摘
Chronic obstructive pulmonary disease (COPD) is characterized by an incompletely reversible impairment of airflow and is associated with high morbidity, mortality and costs. The avoidable and typically progressive but treatable disease is seen as a pulmonary component of chronic multimorbidity. The diagnosis is made based on clinical symptoms and spirometry. The most important risk factor is inhalation of cigarette smoke, which is why in the treatment strategy an absolute cessation of smoking is the most important preventive measure for COPD. Multimodal pharmacological and non-pharmacological treatment approaches aim to improve the quality of life and lung function and to prevent exacerbation. For selected patient groups bronchoscopic measures in referral centers can represent a possible treatment option.