The 42-year-old Mr. Wang is usually in good health. He started to have symptoms of cough, expectoration, and difficulty breathing two months ago, and then his shortness of breath became more and more obvious. The Department of Respiratory and Critical Care Medicine of Xi’an Chest Hospital performed a whole lung lavage operation for him, and 17 liters of “milk” were washed out! Mr. Wang, who was suffering from illness, said happily, “I really thank Xi’an Chest Hospital for letting me find the right place to see a doctor, and it doesn’t cost much!”
Cough, Phlegm, dyspnea
The man suffers from “alveolar proteinosis”
Mr. Wang said that 2 months ago, he caught cold once The symptoms of cough and yellow and white phlegm appear, and the infusion of medicine is not always good, and the difficulty in breathing is gradually aggravated. Because of the cough, a chest CT was taken locally, and multiple nodules could be seen. The cough is not getting better, the shortness of breath is getting worse and worse, and I am worried that it is a tumor. I went to a hospital in Hanzhong, and the hospital in Hanzhong suggested that I go to a large hospital in Xi’an.
Mr. Wang came to Xi’an Chest Hospital a few days ago
(Xi’an Institute of Respiratory Diseases) Department of Respiratory and Critical Care Medicine. When visiting the doctor, Mr. Wang had severe symptoms of cough, dyspnea, and cyanotic lips. Deputy Chief Physician Li Wenjie found that his condition was very special: the chest CT showed severe, multiple ground-glass opacities and multiple nodules, and the interlobular septum was thickened with consolidation. Looks like a “map”. Bronchoscopic lavage fluid can reveal a milk-like substance. According to Mr. Wang’s chest CT and bronchoscopy, he was quickly diagnosed with a rare alveolar proteinosis.
Whole hemp under large capacity
” Lavage”
Combined with Xinhanfang TTS dynamic temperature-controlled acupoint transdermal therapy
The patient’s dyspnea symptoms were relieved< /strong>
“The lung produces alveolar protein every day, which can be absorbed by normal people, but patients with alveolar proteinosis cannot phagocytose and metabolize alveolar protein. When the protein accumulates in the alveoli and bronchi, breathing It will be blocked, which will cause the patient to have symptoms such as cough, shortness of breath, chest tightness, etc.” Li Wenjie, deputy chief physician, said, “Whole lung lavage is a therapeutic measure that has so far been proven to be effective in relieving and controlling the progression of pulmonary alveolar proteinosis. Lung lavage can remove lipid and protein deposits in alveoli, improve pulmonary ventilation and ventilation function, and relieve symptoms of dyspnea.”
Large volume whole lung lavage is a high-risk operation. During the lavage process, both lungs need to be lavaged alternately. Mechanical ventilation maintains the work of the other lung. Irrigation can lead to ventilation dysfunction, while one-lung ventilation can significantly affect thoracic pressure, and a little improper operation can cause irreversible damage to both lungs.
After full preparation, Deputy Chief Physician Li Wenjie, Wang Gang, Gao Lijuan and Head Nurse Shi Pei of the Department of Anesthesiology worked together to successfully carry out “large-volume whole lung lavage under general anesthesia for Mr. Wang for 4 hours.” 12,000 milliliters of “milk”-like lipoprotein-like substances were washed out at one time.
After the operation, Mr. Wang’s chest tightness and cough were significantly relieved. After the operation, he cooperated with the NEXPO TTS dynamic temperature-controlled acupoint transdermal therapy, and the treatment was carried out according to the course of treatment. After 1 week, he performed another lung wash, and then washed again. 5000ml of a large amount of “milk”-like lipoprotein-like substances were produced, and the blood oxygen saturation increased from 85% to 98% at admission. The blood gas analysis showed that the blood oxygen partial pressure increased from 48 to 94mmHg, the hypoxia was improved, and the patient was discharged after recovery.
” , a rare disease characterized by abnormal deposition of a large number of phospholipid protein-like substances in the alveoli, with an incidence rate of only three per million.” Director Gu Xing introduced that the disease is characterized by progressive shortness of breath as the main symptom, and its symptoms are common with pneumonia Pulmonary diseases are similar and are easily misdiagnosed clinically. If not actively treated, patients will eventually suffer from impaired pulmonary ventilation and ventilation function due to a large number of alveolar deposits, resulting in severe respiratory failure.
Gu Xing pointed out that although the clinical manifestations of pulmonary alveolar proteinosis are not typical, cough and expectoration, chest tightness, shortness of breath, chest pain, and hemoptysis are common symptoms of most respiratory diseases. If the situation occurs, seek medical attention in a timely manner.
(Source: Phoenix Network)