The old man has a fever and chest tightness.
Author:Wuhan Evening News Time:2022.08.25
Dr. Yang clarified to observe the patient's CT tablets carefully. Correspondent Zhang Quanlu Photo
The Yangtze River Daily Da Wuhan Client August 25 (Reporter Wuye Correspondent Zhang Quanlu) The 60 -year -old man had a fever and chest tightness, and the cause was a mystery. Experts pump the cocoon and find out the real murderer: the old man played moldy gourd shreds, and inhaled allergens to cause allergic pneumonia. Yesterday, the patient was discharged from the hospital after treatment. The first thing to go home was to completely clean the dry gourd.
Last week, 64 -year -old Grandpa Li went to Wuhan Pulmonary Hospital for a fever and chest tightness. He found that both lungs had grinding glass shadows in CT. Yang clarifying the vice chief physician of the second ward of the respiratory area, with rich clinical experience, first ruled out the possibility of tuberculosis, and thought of the grinding glass images of patients with allergic allergic allergicitis. Original, causing alveolar allergies.
In order to find out the cause of the disease, Yang clarified and Grandpa Li chatted. During the conversation, Grandpa Li was a clean person. The home environment was hygienic. He had no pets and no flowers.
Just when Yang clarified a bit unable to touch, Grandpa Li took the initiative to talk about his hobbies. After retiring, he fell in love with the gourd silk, and he also reported in class at the elderly university. In the past two months, Grandpa Li did not go to class, and the gourd was lying in the instrument box to sleep. A few days ago, when he took it out, he smelled a moldy smell.
Yang clarified immediately that this moldy musical instrument must not be exposed anymore, it is likely to be the cause of cough and chest tightness. Sure enough, Grandpa Li was diagnosed with allergic pneumonia through bronchial mirror -frozen lung biopsy and other examinations. Yesterday, Grandpa Li was discharged after a period of hormone treatment, and he was cleaned as soon as possible after returning home.
Yang clarified that many organic matter dust particles containing various fungal robes, bacterial products, animal protein, and insect antigen are allergic to allergic reactions after being inhaled to the lungs. Early diagnosis and avoiding contact with antigen is the key to treatment. Among them, patients with mild lung function can recover themselves by themselves, and patients with heavy condition need to relieve and eliminate acute aggravating symptoms through glucocorticoid treatment, and can prevent bronchial expansion, irreversible airway obstruction and pulmonary fibrosis.
【Edit: Fei Yinmei】
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