Women repeatedly coughing and hemoptysis, almost being used as lung cancer!Fiber support bronchial mirrors out of the "culprit"

Cough, cough, weight loss, high heat, CT examination found shadow, is lung cancer? Or other diseases? Ms. Gong, 62, who lives in Yiyang, encountered this problem.

Half a month ago, she suddenly began to have cough, sputum, shortness of breath, and the highest body temperature even reached 39.0 ° C. Ms. Gong thought it was a normal cold, so the infusion of the local sanitation was treated for 5 days. A little better, but still repeated.

Later, fever, cough, sputum, hemoptysis and other symptoms, people gradually lost weight, and the infusion treatment did not improve again. After CT and other examinations, they were highly suspected of lung cancer!

(CT image when admission)

This scared Ms. Gong. In order to figure out her condition, she also hoped that the system was diagnosed and treated. Recently, Mu Ming came to Hunan Second People's Hospital to breathe and critical medical clinics.

Under the diagnosis and treatment of the team system led by Director Zeng Xiangbo, Director of the Director of Breathe and Critical Medicine of the Second People's Hospital of Hunan Province, it was found that the patient's lungs were large -scale lungs, severe infections, and formation of lung abscess.

Combined with clinical symptoms, after CT's examination again, Director Zeng Xiangbo was considered to be caused by the inflammatory granuloma of inflammatory granuloma in the foreign body of the airway. The possibility of bronchial obstruction was high and the possibility of lung cancer was less likely.

Under the inspection and treatment under the fibrous mirror, a large amount of purulent secretions are pouring out, a large number of granulation wraps, after nearly an hour of freezing, high -frequency electrical removal, etc., and finally found the "culprit": airway foreign body —— "A bone" and took it out smoothly.

(The foreign body taken out)

Is the airway foreign body only happen by children?

Ms. Gong was very puzzled. Why did she have a trachea in such an old age?

Director Zeng Xiangbo introduced: Pitoma foreign bodies are indeed more common among children, but adults may also happen.

In particular, the elderly often have different degrees of cardiovascular and cerebrovascular diseases. There are poor chewing functions, slow cough reflexes, poor coordination of swallowing and breathing movements, etc., and it is also easy to cause mistakes.

Especially for elderly people with dysfunction, must be patient when eating, do not worry, and try to feed the liquid or semi -current diet.

Why did the patient feel a foreign body at the time?

Once the airway enters the foreign body, it will show severe cough first, and may be accompanied by symptoms such as dullness, difficulty breathing, and abnormal breathing forms.

However, if the position of the trachea foreign body does not block the bronchies and does not affect the smooth airway, you can "get along with each other" with people. This is why Ms. Gong never knew that he had a foreign body.

(CT image after surgery)

Why is airway foreign body suspected of lung cancer?

The airway foreign body is very dangerous. If there is a "uninvited guest" in the airway, under the stimulation of foreign bodies for a long time, the respiratory tract secretion increases or blocks the body's swelling, which can cause symptoms such as repeated cough, hemoptysis, cough, sputum, high fever, etc. The symptoms of lung cancer are very similar.

Moreover, foreign objects will be slowly wrapped by granulation. Under the image of CT, it is easy to be diagnosed as tumors.

Director Zeng Xiangbo, Director of Breathe and Critical Medicine of the Second People's Hospital of Hunan Province, reminded: In response to chronic cough or lungs of unknown reasons, patients with lung infections that have been cured for a long time need to be alert to the possibilities of bronchial bronchials. Diagnosis and treatment.

Fibrous bronchial mirrors can enter the trachea, bronchies and remote ends through the sound gate, observe the lesions of the trachea and bronchies, and find the diseases of the pulmonary pathogens, remove the pathogen tissue, sputum absorption, washing, and placing the bracket. A very safe and effective method.

(Edit Rainbow.)

Hunan Medical Chat Special Author: Hunan Second People's Hospital Breathing and Critical Medicine Division Huang Rui Yuan Yanqing

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