Cough with wheezing

Introduction Cough with wheezing can be seen in bronchial asthma, spastic bronchitis, cardiogenic asthma (cardiac asthma is caused by left heart failure and acute pulmonary edema caused by episodes of asthma, the clinical manifestations of the attack can be associated with the bronchi Similar to asthma), foreign body in the trachea. In the onset of bronchial asthma, wheezing sounds are inevitable. In addition to the wide range of bronchioles, if the bronchiole mucosa is swollen and the secretions in the lumen are retained, the intensity of the wheezing sound is greater.

Cause

(1) Respiratory infection

Acute upper respiratory tract infection, acute tracheobronchitis, pneumonia, acute exacerbation of COPD, bronchiectasis, lung abscess, pleurisy, tuberculosis.

(2) Non-infectious respiratory diseases

Asthma, chronic bronchitis, eosinophilic bronchitis (EB), allergic rhinitis, allergic cough (AC), bronchial lung cancer, pulmonary vascular disease (such as pulmonary embolism, etc.), interstitial lung disease.

an examination

Related inspection

Lung ventilation imaging lymphocyte ratio (LY%) chest CT examination

There are wheezing sounds in both lungs found in asthma, chronic asthmatic bronchitis, and a localized wheezing that persists in a certain part is seen in airway stenosis, such as a mass in the airway. Bronchial asthma is characterized by prolonged expiratory time, audible and extensive wheezing sounds, and white sputum sputum if there is sputum. Cardiac asthma can smell more dry sounds in both lungs, with a lot of pink Foamy.

When coughing occurs, it is not difficult to judge the type and nature of cough as long as it is carefully observed. For severe cough, most people will go to the hospital in time for their impact on life, work and study. For those chronic coughs, especially those that are not severe chronic cough, many patients often do not value it. In fact, the cause of chronic cough is often heavier than the cause of acute severe cough.

Differential diagnosis

Differential diagnosis of cough with wheezing:

(1) Cough with fever: often due to respiratory infection, bronchiectasis and infection, pleurisy.

(2) Cough with chest pain: common in pneumonia, pleurisy, bronchial cancer, spontaneous pneumothorax.

(3) cough with weight loss: cough with weight loss should pay attention to tuberculosis, bronchial cancer (primary lung cancer).

(4) cough with dyspnea: cough with dyspnea is common in severe cardiopulmonary disease, massive pleural effusion, spontaneous pneumothorax.

(5) Cough with clubbing finger: The so-called clubbing refers to the obvious widening and thickening of the terminal knuckles, and the nails are curved from the root to the end. Cough with clubbing can be seen in bronchiectasis, chronic abscess.

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