Tuesday, March 11, 2008
Bronchiectasis
Bronchiectasis is an infectious disease, for bronchial and chronic inflammatory tissue damage caused by the wall of bronchiectasis and deformation, "branch expansion." Slow onset, longer duration, chronic cough, cough, vomit lot of purulent sputum, repeated hemoptysis is the main clinical symptoms. Secondary infection, fever. Chest discomfort or minor pain, night sweating, weight loss, anemia, anorexia, or a pus-like smelling sputum. Layered sputum unique to the disease, the upper bubble, under overhanging purulent middle of the muddy mucus and lower levels of necrotic tissue sediments. Some patients with peripheral lung tissue of the spread of suppurative inflammation or fibrosis, emphysema or obstructive trend emerging gas, and promoting, cyanosis, pleurisy, empyema, lung abscess and pericarditis changes. There are also a number of patients in the course development process, we can see cor pulmonale and right heart failure and had clubbed fingers, toes, malnutrition, physical decline. Modern Medicine that the disease as a major factor in bronchial-pulmonary infection and bronchial obstruction. Standing with bacteria, viruses, tumor, foreign body inhalation, irritating gases or Bian Formation within the syndrome, and other factors. The main basis for the diagnosis of chronic cough, cough sputum and repeated hemoptysis. Pulmonary function tests showed gassing uneven distribution of vital capacity and maximum time to reduce ventilation, 0.443 percentage of total lung volume increased. Can cause arterial oxygen and arterial oxygen saturation decreased. X-ray inspection or only early lung lesions increase in the depth profile. X-ray later revealed irregular ring translucent shadow, or showed a honeycomb, or even on flat, atelectasis. Layered radiography can see atelectasis of bronchiectasis and deformation. Bronchial angiography can be diagnosed and location, nature and scope of the analysis have important significance. Modern medicine for the treatment of the disease, mainly antibiotics and anti-inflammatory prescriptions and treatment methods, but also on the lesion different positions, take different positions automatic postural drainage for help promote Nongtan emissions. For a longer history, the repeated attacks, invalid medical treatment, opertion cases, may consider surgery for the treatment. Of the disease in TCM Clinic mostly "cough", "sputum straw", "hemoptysis" areas. The medicine for lung Jiao dirty, tiring of being evil aggression, this was evil lung thermal fumigation, blood contact was corrupt meat rot blood defeat, the blockage forming pus, Sluggishness resulting gas Cheong, frequented movements disorders, the cough, hemoptysis repeatedly, and the Turpan-large purulent sputum, unpleasant fishiness; Heat Found, Vital struggles forced-release, the fever sweat; yang qi is not sufficient, Hot choking on coke, the shortness of breath or chest pain, cyanosis, spleen qi and blood biochemistry to the source, Main limbs, Spleen Water Valley niceties were no transportation, so they anorexia, consumers agreed that the weak Digit deformation.
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