Mucopurulent sputum

Introduction Warts are an acute and chronic tracheal-bronchitis. Cough, phlegm, asthma, and inflammation are common signs of lower respiratory tract infections. In the human respiratory tract, many small ciliated waves are facing the direction of the mouth, slowly pushing out the dirty things, and when they push to the eyes of the scorpion, people will cough and spit. Acute tracheobronchitis, the initial disease is a single dry cough or a small amount of mucus sputum, and later with the development of the disease, cough is intensified, secretions gradually increase, sputum is mucopurulent.

Cause

Chinese medicine believes that the production of sputum is mainly related to the lungs and spleen. The main breathing of the lungs regulates the entry and exit of the qi (yuan). If the lungs are lost, there may be cough and lie and lying inequality. In the case of wind evil or cold evil invading the lungs, the body fluid in the lungs is condensed into sputum. The spleen is transported, that is, digesting and transporting nutrients to various organs. If the wet evil invades the human body, or if the thoughts are excessive, tired and unhealthy, it can damage the spleen and make it lose its transport function, causing the water to stop and condense into a phlegm. After a few days after the heat is invaded by the lungs or the wind or the cold is first heated, the body fluid is burned and converted into yellow sticky sputum, which is called enthusiasm. Acute tracheobronchitis, Chinese medicine believes that this disease is mainly caused by wind, cold, heat, dampness, dryness, fire, anger, invasion of the lungs, leading to unrecognized lungs, deregulation, affecting the entry and exit of the lungs, thus causing cough , cough, asthma. Due to different human qualities and different infections, different syndromes such as wind and cold, wind and heat may occur. Others such as inhaling smoke and turbid gas can also cause lung cough. If the evils of the lungs can not be removed in time, they can be transformed and transformed. For example, the cold and cough can stagnate and heat, and the wind and heat cough can dry the wounds. Therefore, there are clinical sneezes of different syndromes such as cold, wind, and heat. . Modern medicine believes that when the body's resistance is low, such as cold, excessive fatigue, malnutrition, etc., when the whole body or local defense function is low, it is infected (common respiratory syncytial virus, parainfluenza virus, influenza virus and adenovirus, mycoplasma pneumoniae) Etc., or secondary bacteria such as pneumococcal vaccine, Haemophilus influenzae, streptococcus and staphylococcal infections, physical and chemical stimuli (such as cold air, air pollution, dust, irritating gases or smoke inhalation) and Allergic reactions (such as pollen, organic dust, fungal spores, etc., allergy to the seedling protein) cause a weakening of the tracheal-bronchial local defense function (mucosal epithelial damage, ciliary dyskinesia), causing mucosal congestion, edema, exudation, secretions Increased inflammatory pathological changes.

an examination

Related inspection

Sputum cytology check sputum pathogen examination

First, the symptoms: systemic symptoms are generally lighter, may have fever, about 38 ° C, more than 3-5 days to normal. Cough, cough, first dry cough or a small amount of mucous sputum, then can be converted to mucopurulent or purulent, increased sputum, coughing, and even blood in the sputum, cough can last 2-3 weeks to disappear, such as Prolonged unhealed, can evolve into chronic bronchitis. If the bronchial sputum occurs, there may be a degree of shortness of breath, and a feeling of tightness after the half sternum.

Second, physical signs: physical signs are not many, breathing sounds are often normal, you can hear scattered dry and wet voices in both lungs. The voice part is not fixed and can be reduced or disappeared after coughing.

Laboratory tests showed no significant changes in white blood cell counts and classification in the surrounding blood. When the bacterial infection is heavier, the total number of white blood cells and neutrophils are increased, and the pathogenic bacteria can be found in the sputum culture.

Differential diagnosis

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.

Yellow-white sticky fruit has fruity taste in Flavobacterium pneumonia, elevated body temperature, difficulty breathing, increased amount of sputum, yellow-white sticky, fruity. Check the lungs have a fine voice, a small amount of wheezing.

The adhesion of coal dust or cholesterol crystals is a symptom of the clinical manifestations of coal workers' pneumoconiosis. Coal miner's pneumoconiosis refers to the general term for lung lesions caused by coal mine workers' long-term inhalation of dust in the production environment.

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