What should I do if I have pulmonary chest tightness?

Pulmonary chest tightness is actually very common. Many people are easily troubled by it. Sometimes it is caused by bronchial or lung diseases. We must be alert to these symptoms, actively respond to treatment, and learn to control our emotions and avoid anxiety.

1. Causes

1. Bronchial and lung diseases

Chronic bronchitis complicated with obstructive pulmonary emphysema is the most common, followed by bronchial asthma, bronchiectasis, severe pulmonary tuberculosis, pneumoconiosis, chronic diffuse pulmonary fibrosis, sarcoidosis, allergic alveolitis, eosinophilic granuloma, etc.

2. Thoracic movement disorders

Less common are severe posterior spondylosis, scoliosis, spinal tuberculosis, rheumatoid arthritis, extensive pleural adhesions, severe chest or spinal deformity caused by thoracoplasty, and neuromuscular diseases such as poliomyelitis.

3. Pulmonary vascular disease

rare. Allergic granulomatosis involving the pulmonary arteries, extensive or recurrent multiple pulmonary arteriolar embolism and pulmonary arteritis, and primary pulmonary hypertension of unknown cause develop into cor pulmonale.

2. Drug treatment

(1) Control infection: Select antibiotics based on sputum culture and drug sensitivity test. Commonly used antibiotics include penicillins, aminoglycosides, quinolones and cephalosporins. In principle, narrow-spectrum antibiotics should be used as the main method, and when using broad-spectrum antibiotics, attention must be paid to possible secondary fungal infections.

(2) Oxygen therapy: clear the airway and correct hypoxia and carbon dioxide retention.

(3) Control heart failure: Heart failure in patients with cor pulmonale can generally be improved after actively controlling infection and improving respiratory function. The urine volume increased, the edema subsided, the enlarged liver shrank, and the tenderness disappeared. There is no need to add diuretics, but for severe cases that do not respond to treatment, diuretics, cardiotonic drugs or vasodilators can be used appropriately.

(4) Control arrhythmia: Generally, arrhythmia will disappear on its own after treating the infection and hypoxia of cor pulmonale. If the condition persists, medication can be selected based on the type of arrhythmia. 2. During the remission period, a combination of Chinese and Western medicine is used to enhance immune function, remove inducing factors, reduce or avoid the occurrence of acute exacerbations, and gradually restore partial lung and heart function.

3. Prognosis

Cor pulmonale often has repeated acute exacerbations, and the condition gradually worsens with the damage of lung function. Most patients have a poor prognosis, but active treatment can improve their quality of life.