Person who send the intersection of lung and fiber take, have which behave and how diagnose specially? 's general knowledge
Person who send the intersection of lung and fiber take, have which behave and how diagnose specially?
Clinical manifestation
About 15% of the IPF cases are presented acutely and passed, often finds because of going to a doctor in upper airway infection, the going on has difficulty in breathing and aggravates, exceed and die from and breathe circulatory failure in 6 months. The hopeless great number IPF is for being chronic type (may still lie between middle subnormal temperature types) ,Although it is chronic to call, there are only 3.2 years to survive for time on average. It does not seem acute type and develop that chronic type, does not still understand the precise relation.
Main symptom is as follows, the dyspneal labour has difficulty in breathing and the going on is aggravated, breathe the simple speed, there can be wings of nose to work up and participate in breathing with the auxiliary skin, but not mostly sat up straight and breathed. Cough and expectoration have, cough early period, later can have dry cough or a small amount of mucus phlegm. It is apt to have then send and infect, the mucus suppuration phlegm or suppuration phlegm appears, the phlegm of accidental blood. Whole body symptom can be becoming thin, weak, losing the appetite, joints and ache etc., generally relatively rare. Acute type can generate heat.
Common physical sign: Dyspnea and cyanosis. The thoracic cage expands and the movable degree of reducing of diaphragm skin. Two lung lower part Velcro rales, have certain characteristics. The poke means the toe. Breathe depleted and depleted corresponding sign of the right heart in latter stage in end.
Diagnosis
(1) Diagnose technology
1,The image learns to check
(1)Regular the intersection of X-ray and the intersection of chest and slice take a photograph of slices of technology, must pay attention to, penetrate terms to be appropriate, employ intermediate to increase the sense to reject, focus should be small. Early alveolus inflammation can't reveal unusually on the X line; Up to the progress of pathological change, the X-ray demonstrates the cloud can see the small and point-like filling the air shade vaporifically and indistinctly, like rubing the glass. Develop, see fiber take, become obvious, knit form, knit form from very thin network to thick network further, or take the form of the network and weave the tubercle. Have bag not of uniform size that changes even more in later period, namely honeycomb lung. The lung volume shrinks, lift on the skin of diaphragm, split and shift among the leaves.
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