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#Chronisch obstruktive Lungenerkrankung(COPD)Ein 64-jähriger Patient leidet seit vielen Jahren an einer COPD, die mit einem inhalativen β2-Mimetikumgut eingestellt ist. Seit 2 Tagen klagt er über starken pro- duktiven Husten, der Auswurf sei gelblich verfärbt und er bekomme nur noch schlecht Luft. Die Lungenfunk- tion zeigt eine deutliche Abnahme der FEV1 im Vergleich zu Voruntersuchungen, in der BGA bemerken Sie eine normokapnische Hypoxämie. Was ist die wahrscheinliche Ursache der akuten Verschlechterung?

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