Lower limb edema in chronic obstructive pulmonary disease suggests a decline in right heart function. In addition to conventional treatment of chronic obstructive pulmonary disease, heart failure should be controlled.
1. Conventional treatment for COPD: smoking cessation, long-term home oxygen therapy, nasal cannula oxygen 1-2L/min, more than 15 hours a day; infection control, such as cephalosporins, levofloxacin, etc.; bronchodilators, such as salbutamol, ipratropium bromide, etc.; expectorants, such as carboxymethyl stannum tablets, aminoglutethimide, etc.
2. Correct heart failure: use diuretics such as hydrochlorothiazide to increase urine output, eliminate edema, reduce the burden on the heart, and use cardiac muscle strength drugs if necessary.
The emergence of lower limb edema in chronic obstructive pulmonary disease is a manifestation of the progression of the disease, which needs to go to the respiratory internal medicine department of regular hospitals, and be treated after evaluation by specialists.