肺病科孙玉德：慢性阻塞性肺气肿的体征表现
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">慢性阻塞性肺气肿的体征表现<span style="color: black;">重点</span>有运动后气急、气喘、<span style="color: black;">呼气</span>困难，天气闷热或冬季的时候，<span style="color: black;">一样</span><span style="color: black;">亦</span>会<span style="color: black;">显现</span>气喘、<span style="color: black;">呼气</span>不顺的症状。严重的还会<span style="color: black;">显现</span>缺氧的症状，<span style="color: black;">逐步</span>的会变成平时说话的时候，<span style="color: black;">亦</span>会<span style="color: black;">显现</span><span style="color: black;">呼气</span>困难的症状。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">慢性阻塞性肺气肿<span style="color: black;">病人</span>会有胸部桶状胸，<span style="color: black;">所说</span>桶状胸<span style="color: black;">便是</span>前后径和<span style="color: black;">上下</span>径的比例<span style="color: black;">出现</span>改变，正常的<span style="color: black;">上下</span>径大于前后径，慢性阻塞性肺气肿的比例可能<span style="color: black;">出现</span>变化，<span style="color: black;">乃至</span>前后径和<span style="color: black;">上下</span>径一致。肋间隙要增宽，<span style="color: black;">呼气</span>道肋间隙增宽，<span style="color: black;">呼气</span>动度幅度会减少。触诊的时候<span style="color: black;">呼气</span>的动度减弱，叩诊要呈过清音，叩诊可表现为肺下界下移。听诊可表现为<span style="color: black;">呼气</span>音的减弱。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">北京崇文门中医医院肺病科孙玉德讲到，<span style="color: black;">因为</span><span style="color: black;">病人</span>的抵抗力下降，容易受到其它病原体的入侵，<span style="color: black;">例如</span>细菌可并发有感染，<span style="color: black;">显现</span>有咳嗽、咳脓痰，可<span style="color: black;">伴同</span>有喘息、气促的症状，这些症状比之前更加<span style="color: black;">显著</span>。久而久之，<span style="color: black;">倘若</span>这些症状<span style="color: black;">不可</span>够有效的缓解，<span style="color: black;">不可</span>够<span style="color: black;">经过</span>正规的治疗和护理，很可能会诱发右心功能<span style="color: black;">显现</span>衰竭，从而<span style="color: black;">显现</span>有慢性肺源性心脏病。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">北京崇文门中医医院肺病科孙玉德温馨提示<span style="color: black;">病人</span>：平时<span style="color: black;">必定</span>要<span style="color: black;">重视</span>预防感冒，避免去环境污染的场所。慢性阻塞性肺气肿<span style="color: black;">通常</span>由慢性支气管炎和哮喘<span style="color: black;">长时间</span><span style="color: black;">爆发</span><span style="color: black;">引起</span>的，慢性阻塞性肺气肿在<span style="color: black;">检测</span>过程中会<span style="color: black;">显现</span>胸廓呈桶状，肺部组织弹性下降，会<span style="color: black;">显现</span><span style="color: black;">呼气</span>音减低，肋间隙增宽等。<span style="color: black;">必须</span>尽早进行治疗，否则很容易<span style="color: black;">引起</span><span style="color: black;">病人</span><span style="color: black;">没</span>法正常运动。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">避免接触二手烟和污染空气的接触;保持<span style="color: black;">呼气</span>道通畅，有些慢阻肺的病人<span style="color: black;">常常</span>合并有<span style="color: black;">非常多</span>咳嗽、咳痰<span style="color: black;">状况</span>，反复<span style="color: black;">爆发</span>，当痰<span style="color: black;">不易</span>咳出时，<span style="color: black;">能够</span>用空心拳轻轻的叩击背部，<span style="color: black;">而后</span>自下而上的轻叩背部，促进痰液的排出;平时多做些<span style="color: black;">呼气</span>运动的<span style="color: black;">熬炼</span>，<span style="color: black;">例如</span>腹式<span style="color: black;">呼气</span><span style="color: black;">或</span>缩唇<span style="color: black;">呼气</span>，<span style="color: black;">这般</span>有助于肺功能的<span style="color: black;">加强</span>。</p>
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