Abstract: The respiratory out-patient clinic comprehensive diagnosis and treatment center is an indispensable link in the tiered diagnosis and treatment of chronic respiratory diseases，and a transitional bridge for mutual transfer treatment between the respiratory specialist clinic and the community general clinic.This article introduces the current status and problems of hierarchical diagnosis and treatment of chronic respiratory diseases，and the clinical significance of the respiratory out-patient clinic comprehensive treatment center in the tiered diagnosis and treatment of chronic respiratory diseases：（1）to give clear diagnosis of patients who were early screened by community general practitioners，so as to improve the early diagnosis rate of chronic respiratory diseases to ensure the diagnosis accuracy；（2）to establish standardized treatment programs for patients with chronic respiratory diseases，and provide guidance for the upgrading or downgrading of follow-up treatment programs for retreated patients；（3）to promote the use of aerosol inhalation therapy in treating chronic respiratory diseases and popularize standardized inhalation therapy to community health service centers；（4）to provide training for general practitioners to improve their basic skills in using spirometer，performing non-invasive mechanical ventilation，home oxygen therapy and respiratory rehabilitation training；（5）to carry out health education to improve the patient's cognitive abilities of chronic respiratory disease.This article also introduces the site facilities，staffing and related diagnostic and treatment specifications of this center.

Key words: Respiratory system, Chronic disease, Comprehensive diagnosis and treatment, Hierarchical diagnosis and treatment

摘要： 呼吸门诊综合诊疗中心是慢性呼吸系统疾病分级诊疗必不可少的中间环节，是呼吸专科与社区全科相互转诊的过渡桥梁。本文介绍了慢性呼吸系统疾病分级诊疗现状和存在的问题，叙述了呼吸门诊综合诊疗中心在呼吸系统慢病分级诊疗中的临床意义：（1）对社区全科医生早期筛查患者进行明确诊断，提高慢性呼吸系统疾病早期诊断率，确保诊断的准确性；（2）对慢性呼吸系统疾病初治患者制定规范的诊疗方案，对复治患者后续治疗方案的升级或降级提供指导建议；（3）推广雾化吸入治疗在慢性呼吸系统疾病中的应用，向社区卫生服务中心普及规范的雾化吸入治疗；（4）开展全科医生培训，提高社区全科医生肺功能仪、无创机械通气、家庭氧疗及呼吸康复训练的基本技能和基本技术；（5）开展健康教育，提高患者对慢性呼吸系统疾病的认知能力等。同时，本文还介绍了呼吸门诊综合诊疗中心的场地设施、人员配备以及相关诊疗规范。

关键词: 呼吸系统, 慢性病, 综合诊疗, 分级诊疗