Tightness or girdle feeling in the chest

Introduction The number of peripheral white blood cells is normal or slightly higher, which may be significantly increased by bacteria or when combined with bacterial infection. X-ray examination of lung texture thickening or hilar (lung door shadow mainly composed of pulmonary artery, pulmonary vein, bronchus, lymphatic vessels, specifically including left and right main bronchus, leaf bronchus, segmental bronchus and accompanying pulmonary artery and pulmonary vein, occupying both lungs Due to bronchial and vascular variability, the normal hilar image is not easily described in one or two sentences, but it is still regular. The anterior to posterior hilar is pulmonary vein, pulmonary artery, and bronchus. From top to bottom, the bronchus, pulmonary artery, and pulmonary veins are in turn. The left hilar is the pulmonary artery, bronchus, and pulmonary vein from top to bottom. This arrangement is sometimes clearly shown on the chest X-ray film, and sometimes it is not clear enough. It is difficult to distinguish pulmonary artery and pulmonary vein from density, but it can be distinguished from branch and morphology. Pulmonary artery image density is high, branch is uniform, taper, branch is acute angle; image density of pulmonary vein is lighter, coarser, branch angle ratio The artery is large. The normal hilar vascular component and bronchial component can be distinguished, and the bronchial section is annular and the vascular section is Dot-like shadows, generally less than 5mm in diameter). The shadows deepen.

Cause

The number of peripheral white blood cells (the total number of white blood cells varies, generally between 20.0 and 50.0 × 109 / L, a few higher than 100 × 109 or less than 10.0 × 109 / L. More than half of the patients see a large number of blood around the patient (sometimes up to 90) %) Abnormal primordial white blood cells.) Normal or slightly higher, can be significantly increased by bacteria or when combined with bacterial infection.

an examination

Related inspection

Chest flat chest chest B chest CT examination

At first, there were dizziness, headache, tinnitus, vertigo, weakness of the limbs and general malaise. Symptoms gradually worsened with nausea, vomiting, chest tightness, cherry red on the skin and mucous membranes, followed by drowsiness, coma, shortness of breath, decreased blood pressure, and even death. The severity of symptoms is related to how much carboxyhemoglobin is present. Head swelling, headache, and nausea occur when blood contains 10% to 20% carboxyhemoglobin; when it reaches 30% to 50%, weakness, vomiting, dizziness, confusion, tremor, or even collapse; to 50-60% Coma and convulsions occur; to 70% to 80% of the respiratory center paralysis, heartbeat stops. Since carboxyhemoglobin is red, the patient has no bruising and the skin and lip color are cherry red. The chest is tight and breathing is difficult.

Differential diagnosis

Burning noisy between the chest: This is a symptom of burning and noisy between the chest. Because the disease is in the heart of the chest, it is also called "the heart of the heart." Can be seen in the course of acute fever or gastroenteritis. If you are upset and have a feeling of boredom, it is called "heart palpitations" (, boredom).

Heaviness in the chest: Hyperthyroidism has less angina pectoris, mostly coronary artery blood supply is relatively insufficient, and it is more common in the chest or chest.

Chest tightness: The sympathetic nerve is a kind of autonomic nerve. The autonomic nerve controls our heartbeat, blood pressure, sucking, heartbeat and so on. People with autonomic dysfunction, that is, people with strong sympathetic activity, causing nerve tension or tightness, if they are tight in the chest, they will produce chest tightness, tight chest pain, and poor cardiovascular delivery; if they are tight, then Depressed, anxious, nervous, worried, etc., feel pressure at any time.

Palpation without pulmonary occlusion: is a clinical manifestation of Ebstein syndrome. This disease is also known as the tricuspid valvular deformity. Occasionally, family history, the mother's early pregnancy in lithium patients whose progeny are susceptible to the disease, in the functional right ventricle, systolic blood pressure can be normal, and diastolic blood pressure is often increased, similar to constrictive pericarditis. Both atrial systolic and diastolic blood pressures were elevated. There may be systolic pressure difference on both sides of the pulmonary valve. There may be diastolic pressure difference on both sides of the tricuspid valve. The former may be too long due to a tricuspid leaflet and partially block the right ventricular outflow tract. The latter is due to tricuspid malformation and tricuspid valve. The mouth is narrow.

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