OVERVIEW
Overview of lung eosinophilia
Pulmonary eosinophilic infiltrates, also known as pulmonary eosinophilia, is a group of pulmonary metaplastic diseases caused by different pathogens, drugs, etc. The main clinical manifestations are cough, shortness of breath, chest tightness, hemoptysis and so on in varying degrees. Improvement of ventilation function, experimental deworming and other treatments can help to improve the symptoms.
Whether medical insurance
Yes
Department
Respiratory Medicine
Alias
Pulmonary eosinophilia
Clinical Symptoms
Cough, shortness of breath, chest tightness, hemoptysis, fever, chest pain, etc.
Harm
Damage to the respiratory system, affecting the quality of life.
Examination
Physical examination, blood routine, sputum examination, X-ray film, etc.
Diagnosis
Cough, shortness of breath, etc. combined with blood routine and imaging examination for diagnosis.
Treatment principle
Anti-inflammatory, anti-metamorphic reaction, causative and symptomatic treatment. Improve ventilation function, experimental deworming treatment, etc.
Curability
Treatment can relieve or eliminate symptoms.
Dietary recommendations
Choose calorie-rich, light, easily digestible foods.
Etiology
Etiology
May be related to pathogenic infections, medications, other allergens, etc.
Symptoms and Diagnosis
Typical symptoms
1. Patients with simple pulmonary eosinophilia may be asymptomatic, or have non-specific mild symptoms such as low fever, dry cough, weakness, etc. A few patients have headache, coughing up bloody sputum and chest tightness, etc. 2. Patients with delayed pulmonary eosinophilia have symptoms such as coughing, mucus-like sputum, dyspnea, weight loss, night sweats, high fever and hemoptysis. Physical examination can be heard fine wet rales, some patients have pleural effusion, local skin necrosis, there can also be hepatomegaly, splenomegaly, etc. 3. Pulmonary eosinophilia with asthma is mainly characterized by recurrent intractable asthma, cough, wheezing, fever, chest pain, chest urgency and other manifestations, sputum sponges can be coughed up or bronchial tubular material. 4. Tropical eosinophilia is slow to start, and patients may have fever, malaise, shortness of breath, and hemoptysis. Tropical eosinophilia starts slowly, patients may have fever, fatigue, shortness of breath and paroxysmal, spasmodic cough and other symptoms, often accompanied by asthma-like episodes, some patients may have abdominal pain, diarrhea and other symptoms. Physical examination may reveal enlarged lymph nodes and splenomegaly.5. Patients with polyarteritis nodosa may have respiratory symptoms such as cough, shortness of breath, cyanosis, chest pain, coughing up bloody sputum or thick sputum, as well as systemic symptoms such as fever, excessive sweating, malaise, muscle pains and arthralgia.
Diagnostic basis
1. patients have respiratory symptoms such as cough, shortness of breath, chest tightness, hemoptysis, etc., history of exposure to pathogens or history of related drugs, physical examination can be smelled lung respiratory tone changes, lymph node enlargement, etc. 2. routine blood examination can be seen in the blood leukocyte count increase, eosinophils increased proportion; sputum examination can be seen in a large number of eosinophils. 3. imaging examination has a diagnostic significance, and can be seen in lung parenchymal infiltration, patchy shadows and other Some patients may have pulmonary fibrosis, honeycomb-like changes, pleural thickening and other manifestations.
Treatment
Treatment guideline
Improve ventilation function, experimental deworming treatment and other treatments.
Drug therapy
Choose appropriate drugs according to the specific type, such as deworming and glucocorticoid.
Prognosis
Related to the specific type of disease, treatment can improve the prognosis.
Nursing care
Daily care
1. Pay attention to hygiene, ventilate the room appropriately, avoid getting cold, going to densely populated areas, etc. to prevent respiratory infections. 2. Maintain a good state of mind, actively cooperate with the treatment, and avoid adverse emotions such as fear and anxiety. 3. If the condition permits, appropriate exercise can help improve lung function. 4.
Dietary management
1. Patients in the recovery period should have a balanced diet, supplement nutrition, choose a diet high in calories, high in protein and rich in vitamins, which is light and easy to digest. 2. After the recovery period, patients can have a normal diet.