Mucopurulent sputum

Introduction The appearance is mostly pale yellow. Common in bronchitis, bronchial pneumonia or mixed infection of the lungs, tuberculosis and other diseases; also common in acute and chronic pharyngitis and suppurative tonsillitis.

Cause

Bronchitis, bronchial pneumonia or mixed infection of the lungs, tuberculosis and other diseases; also common in acute and chronic pharyngitis and suppurative tonsillitis.

an examination

Related inspection

Pulmonary function test lung examination lung biopsy lung imaging

a history of illness

Understanding the color odor traits of observing ticks often leads to a diagnosis.

(a) traits

Mucus purulent sputum traits are between mucus sputum and purulent sputum. There is a part of pus in the sputum except for mucus. It is yellow-white and viscous; it is common in bronchitis, tuberculosis, lung inflammation, etc. The tissue forms pus during the inflammatory process, and at the same time a large amount of mucus secretions are mixed.

(2) Quantity

The most common diseases are: pulmonary edema, lung abscess, bronchiectasis, alveolar cell carcinoma, empyema or abdominal abscess, formation of bronchospasm, etc.; examination of the amount of sputum is generally based on 24h, increased sputum reflects the progress of bronchial and pulmonary inflammation can not be discharged smoothly, although the clinical manifestations of sputum reduction, in fact, the condition is still developing, the symptoms of poisoning will be aggravated.

(three) smell

The general cockroach has no odor. When it is left for a long time, it will produce odor due to the decomposition of bacteria in the sputum. The anaerobic bacteria will have a bad odor when it is infected. It is found in the late stage of lung sputum, lung abscess, bronchiectasis, and bronchial lung cancer.

Second, combined with various inspections

(1) The patient may be subjected to relevant physical examinations and, if necessary, relevant instrument examinations may be performed to further assist in the diagnosis.

Third, carry out related bacterial culture experiments

Differential diagnosis

The diagnosis should be differentiated from the following symptoms:

1. Block sputum: Old chronic bronchitis patients with emphysema sometimes have severe infection, causing excessive secretion of leukocytes, inflammatory white blood cells and shed epithelial cells, forming a large number of massive sputum, thereby blocking the airway Cause suffocation. When this happens, the family should immediately dine on the patient's tongue with a spoon handle, and use a finger wrapped with gauze to reach the throat and pry the blocked block for first aid purposes.

2. Frequent spit mucus: Carcinoma of esophagus is a malignant tumor mainly originating from esophageal squamous epithelium and columnar epithelium. Squamous cell carcinoma accounts for about 90%, and adenocarcinoma accounts for about 10%. The most typical clinical manifestation of esophageal cancer is progressive dysphagia. In the early stage of esophageal cancer, local lesions are relatively early, and their symptoms may be local lesions that cause esophageal motility or paralysis caused by esophagus, or local inflammation, tumor infiltration, esophageal mucosal erosion, superficial ulcers, and symptoms are generally mild. The duration is short, often repeated, when it is light and heavy, there may be an asymptomatic intermittent period, which lasts for 1 to 2 years or even longer.

Late symptoms: dysphagia is a typical symptom of esophageal cancer, often intermittent at the beginning, the general trend is persistent, progressive aggravation; reflux infiltration and inflammation of the esophageal cancer reflexively cause increased secretion of mucus in the esophageal gland and salivary gland, Patients can show frequent vomiting and mucus reflux can cause cough and even aspiration pneumonia; painful persistent pain in the posterior or scapular region of the sternum often indicates that esophageal cancer has infiltrated; other tumors invade large blood vessels, especially the thorax Arteries cause fatal bleeding.

3. Purulent sputum: As the cough increases, the sputum will gradually become thicker and become a purulent sputum. The appearance is mostly pale yellow, mostly caused by bronchitis, bronchial pneumonia or mixed infection of the lungs, tuberculosis and other diseases. Common in acute, chronic pharyngitis or suppurative tonsillitis. If the condition is further aggravated, there will be yellow purulent sputum, mostly yellow-green sticky lumps or opaque pus. At this time, lung abscess, chronic bronchitis, bronchiectasis, cavitary tuberculosis, severe infection, etc. Illness.

Chronic bronchitis is a chronic, non-specific inflammation of the trachea, bronchial mucosa, and surrounding tissues. Clinically, cough, cough or accompanied by repeated attacks such as asthma is the main symptom, which lasts for 3 months every year for more than 2 years. Early symptoms are mild, more than winter attacks, and relieved in spring and summer. In the late stage, the symptoms may be present all year round due to increased inflammation.

4. Cough foam mucus: is the secretion of the respiratory tract, healthy people are generally convulsions. However, if you have a respiratory disease, a large amount of sputum will be produced after infection by the pathogenic microorganism. Chinese medicine divides sputum into chills, wind sputum, sputum, dampness and dryness. Chronic bronchitis in the elderly, insidious onset, mostly onset in young and middle-aged, and a few in the elderly. More patients than in the cold season, coughing, coughing, especially in the morning, sputum is white mucus foam.

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