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Abstract: Pulmonary blisters are mostly secondary to lung disease, and their symptoms are closely related to the size and number of blisters, which is an irreversible lung lesion for which there is no effective drug treatment. The patient visited the clinic for pulmonary herpes. By quitting smoking and alcohol, adjusting the diet, paying attention to rest, avoiding strenuous activities and violent coughing, as well as assisting pulmonary function exercises, the patient had no special discomfort such as chest tightness and shortness of breath.
Basic information】Male, 64 years old
Disease Type】Pulmonary herpes
Hospital】Wuhan University People’s Hospital
Date of consultation】April 2022
Treatment plan】Life conditioning (quit smoking and drinking, adjust diet, pay attention to rest) + functional exercise (abdominal breathing, lip reduction breathing)
Treatment period】1 day of outpatient consultation
Treatment effect] The patient had no special discomfort such as chest tightness and shortness of breath, and the treatment effect was good
I. Initial consultation
Patient’s complaint: Pulmonary herpes was found during chest CT examination one month ago, accompanied by slight cough, white foamy sputum in the morning, no yellow pus sputum, no hemoptysis, no chest tightness, shortness of breath, no chest pain, dyspnea, no restriction of daily activities, and no special treatment. He had a history of hypertension for 5 years, and was taking oral nifedipine tablets to lower blood pressure, and his blood pressure was still under control. He had a history of smoking for more than 40 years, 20 cigarettes/day, and had not quit smoking, and a history of drinking for more than 40 years, 3 taels/day, and had not quit drinking. When he came to the outpatient clinic, he was mentally clear, with clear breath sounds in both lungs and no obvious dry and wet rales on auscultation.
Treatment history
The patient had a history of heavy smoking in the past, and a full set of pulmonary function tests was performed, suggesting mild obstructive ventilatory dysfunction. The patient had a small number of pulmonary blisters and a small size, and was an asymptomatic patient with pulmonary blisters found on physical examination. Combining the medical history and examination results, the patient was advised to take care of his life, quit smoking and drinking, pay attention to rest and diet, avoid straining and getting cold, avoid strenuous exercise and coughing, and avoid inhaling dust, particles and toxic and harmful gases. The lung function should be improved by appropriate pulmonary exercises, such as abdominal breathing and lip reduction breathing.
(Lung CT)
III. Treatment effect
After treatment, the patient had no chest tightness, shortness of breath, and special discomfort such as dyspnea after activity, and belonged to asymptomatic patients with pulmonary herpes found by physical examination. By quitting smoking and alcohol, meanwhile, attention should be paid to avoid straining and getting cold in daily life, avoiding exposure to cold air, irritating gases and toxic and harmful particles, etc., paying attention to wearing a good mask to avoid going out on foggy days, regularly rechecking chest CT and lung function, and following up at the respiratory medicine clinic, follow-up The patient’s symptoms improved and the treatment effect was good.
IV. Notes
I am glad that after treatment the patient has no special discomfort such as chest tightness and shortness of breath. Pulmonary herpes is an irreversible lung lesion for which there is no effective drug treatment, patients need to quit smoking and alcohol, avoid straining and getting cold, avoid strenuous exercise and violent coughing, avoid contact with cold air, irritating gas, inhalation of dust, particles and toxic and harmful gases. Daily diet, mainly high protein, easy to digest food, meat, eggs, milk, fish, etc. can be eaten, avoid spicy, stimulating food, avoid strong tea, coffee, etc., usually pay attention to appropriate physical activities to exercise lung function.
V. Personal insight
Pulmonary maculoplasm is due to various causes of elevated pressure in the alveolar cavity, rupture of the alveolar wall, and subsequent fusion of the ruptured alveoli with each other to form an air-containing cavity larger than 1 cm in diameter within the lung tissue. The symptoms of pulmonary blisters are closely related to the size and number of blisters. Larger or multiple pulmonary blisters may present with symptoms such as chest tightness, shortness of breath, dyspnea, and even hemoptysis and chest pain, while smaller pulmonary blisters may be asymptomatic, and there is no effective drug treatment available. In this case, the patient’s daily activities were not restricted, and the patient did not undergo special treatment, and the symptoms improved after improving the poor lifestyle habits.