Wednesday, August 15, 2012

The elderly's bronchiectasis and symptom and _'s symptom of physical sign

The elderly's bronchiectasis and symptom and _'s symptom of physical sign
The course of disease present chronic process more, coughing for a long time, expectoration, it can be for more than several 10 years to spit blood repeatedly, onset age, more in child or youth, most patients have measles in childhood, whooping cough or bronchus pneumonia medical history, and have one that break out repeatedly that makes the airway infection frequently, the early symptoms of some diseases are non- obvious, even a disease because of spitting blood suspiciously.
Weight and weight of bronchus pathological change of the clinical symptom, infect the intensity and have something to do, condition aggravate gradually year by year because of infecting repeatedly, cough suppuration phlegm quantity increase day by day, can reach 100- 500ml every day sometimes, if there is the infeted's phlegm liquid of anaerobe and exhale and have stinks. Continue, take place while infecting a patient generates heat weakly, whole body symptom of losing the appetite etc..
The typical phlegm liquid can find that there are laminal characteristics in the vial to collect, the upper strata are foams, play and hang the suppuration mucus, organize the precipitate for necrosis in the ground floor. Regard spitting blood by clinical manifestations main repeatedly as some patient, account for 50%- 70%, differ greatly blood volume, unless of different degrees, from bringing in phlegm blood is by a large amount of hemoptysis, blood volume and condition severity pathological change range unanimity of uncertaining.
Some patients regard spitting blood only symptom repeatedly as, there is not cough that cough respiratory tract symptoms such as the phlegm of suppuration,etc. at ordinary times, called on clinic " Doing bronchiectasis " ,Common at tuberculosis bronchiectasis, pathological change, in the upper leaf bronchus more, the bronchus guides better. Infect, can cause, poison symptom, for instance, the intermittence generates heat, weak, loses the appetite and anaemia all over repeatedly, the serious one can present out of breath and cyanosis.
There can not be obvious physical sign in early and slight bronchiectasis. Pathological change is serious or continues and takes place when being infected with, the sick position can present the percussion voiced sound and fixed wet sound of position, sometimes can hear and the intersection of heavy breathing and sound of chirping, cough, can have pokes mean by a large amount of the intersection of suppuration and phlegm person (toe) .
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