Specially sending fiber clinical manifestation _ general knowledge of lung

Specially sending fiber clinical manifestation _ general knowledge of lung
Specially which behave there are the sending lung fibers?
Specially sending lung fiber (idiopathic pulmonary fibrosis, IPF) Acute according to the course of disease, subnormal temperature and chronic difference, the what is called Hamman-Rich syndrome genus is acute type, what clinic is seen more is the subnormal temperature and chronic type, European scholar call a disease more latent sources and cause fiber alveolus inflammation (cryptogenic fibrosing alveolitis, CFA) . The intersection of U.S.A. and conventional IPF, the name of CFA prevails for a time in our country, recently but multi-purpose IPF. Disease this to send out, estimate morbidity 3- 5/10 Wan, account for all quality pulmonary tuberculosis 65% about. See that in every age group, and make diagnosis often among 50- 70 years old, the proportions 1.5- 2 of men and women: 1. The prognosis is bad, even early case reacts to hormone treatment, generally only there are 5 years in life cycle.
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.
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