The treatment of obstructive pulmonary emphysema

The treatment of obstructive pulmonary emphysema
Obstructive pulmonary emphysema is part of a remote terminal bronchiole (including respiratory bronchiole, alveolar tube, lung, vesicles and alveolar) expansion, and with gas wall damage to the pathological state. Is due to air pollution, smoking and chronic lung infection induced by factors such as bronchitis, chronic bronchitis, and further developed. Bronchial asthma, lung fibrosis can also be gradually evolving this disease. This disease as the medical "surge card" and "imaginary surge" areas.

[Clinical] 1. Years of cough, Katan history, symptoms and more in the winter increase. With the development of disease, a progressive shortness of breath, shortness of breath, chest tightness, tired after the increase. 2. With acute respiratory tract infection, cough, Katan, the rapid increase significantly short breath, and respiratory difficulty, cyanosis and pulmonary hypertension. 3. Condition progress to the late Hu Hu failure and can lead to right heart failure.

[Diagnosis] 1.40 over the age of the elderly, chronic cough, breathing history, with see shortness of breath, difficulty in breathing, cyanosis, and other signs of gradually increasing. 2. Thorax was barrel chest, lungs Kouzhen was too Qingyin, liver Zhuoyin sector fell, breathing sound and voice weakened, the extension of breath, Shuangfei can sometimes hear and dry and wet-Music. Heart Zhuoyin sector smaller, low blunt heart sound distant. 3. X-ray examination: Shuangfei transparency increased, lung field of vascular outer texture fine straight, sparse. Ying vertical strip of heart, change a flat diaphragm dome. 4. Pulmonary Function Testing: residual capacity / total lung more than 35 percent. The first one second FVC / FVC of less than 60 percent, the largest ventilation or value is expected to account for 80 percent. Uneven distribution of gas, alveolar gas concentrations above 2.5 percent. 5. The disease should be diffuse pulmonary fibrosis, chronic pulmonary diseases such as heart disease identification.

[Treatment] 1. Western medicine treatment (1) improve immune function: nuclear casein Liquid 10 ml, 1, 2, or transfer of a unit, subcutaneous injection, one week two, or thymosin 5 mg intramuscular injection, on the 1st one. (2) breathing training: do daily breathing gymnastics, abdominal breathing exercise: suction used inhalants, breath is to do with whistle-mouth breath, or within the abdomen. (3) oxygen therapy: low-flow oxygen. (4) usually use a small amount of spasm expectorant drug: 0.1 grams of theophylline controlled release tablets, 1, 2, or ketotifen 1 mg, 1, 3, or licorice compound mixture 10 ml, on the 1st three times. (5) and infection, as appropriate, the use of antibiotics. 2. Chinese medicine (1) lung splenorenal Qiyinliangxu: Chuancu shortness of breath, and then moving very, gas may not be continued, cough, sputum less sticky, dry mouth, hand, foot and heart fever, night sweats spontaneous perspiration, less tongue Danhong Moss , The clock unable to breakdown. Treatment: Bufei Jianpi Zishen, Yiqi Yangyin. Recipe: Radix Pseudostellariae 15 grams, 30 grams Ophiopogon japonicus, Schisandra 10 grams, 15 grams Shude, cornus officinalis 15 grams, 15 grams of yam, paeonol 10 grams, 30 grams Fuling, Zexie 10 grams, 30 grams Lily, the Health Astragalus 30 grams, 30 grams Salvia, Chuanbei powder 6 grams (Chongfu). Chinese patent medicine: Mr Huang pill to taste, Shengmai oral solution. (2) pulmonary spleen and kidney yang Xu Sun: Chuancu falling into, called short-absorption, moving the heavier, Lotanqingxi, chills Shenpi, lumbar acid knee soft, floating face swollen limbs, lips face Qinghui, tongue desalination Moss white, Shen Fine veins inability. 'Treatment: Bufei Jianpi Wenshen, satisfied that the gas asthma. Recipe: 10 grams ginseng, white of 10 grams, 30 grams of Health Astragalus, Fuling 15 grams, cooked attached to the six grams, 15 grams Shude, cornus officinalis 15 grams, 15 grams of yam, paeonol 10 grams, 15 grams of Fuling, Zexie 10 grams, 10 grams Xianling spleen, Zi Heche 10 grams, Salvia - Tao grams, 30 grams Ophiopogon japonicus, Chuanbei powder 6 grams (Chongfu). Proprietary Chinese medicines: 100 Capsule, Jingguishenqi pill. (3) co-infection period is breath Bianzheng reference to the treatment of chronic bronchitis. (4) treated with acupuncture and Chinese medicine prescription ① American ginseng 50 grams, Gecko 2 right, Cordyceps sinensis 30 grams, 10 grams of saffron, Fritillaria-50 grams, for a total of inquiry at the end of one capsule every three to four, on the 1st 3. For peacetime permanent cure. ② Sunburn law: from Feiyu, cream blind, Pishu, Shenshu, Jiang Ai at the Sunburn, Meixue 3-5 Zhuang, a daily one.

[Prevention and tone] 1. For physical exercise and respiratory training. 2. Shou Liang avoid a cold and emotional stimulation. 3. Food and tobacco bogey hypertrophy contact irritating gas. 4. Red dates, Chinese yam, Lily, walnut Zhuzhou consumption.