Treat the disease as pharyngitis. When the 68 year old smoker came to the hospital, he had respiratory failure

November 18 is the 19th "world COPD day". The theme of this year's "world COPD day" is "improving COPD life, no matter who and where". Smoking, air pollution and other factors cause a variety of lung diseases, of which the number of patients with chronic obstructive pulmonary disease in China is about 90 million ~ 100 million, and the number of patients with pulmonary nodules is about 120 million.

In order to promote healthy Zhejiang, advocate healthy life and help everyone improve their understanding of chronic obstructive pulmonary disease, pulmonary nodules and other lung diseases, on the afternoon of November 18, Huang Qingdong, vice president of Zhejiang hospital and chief physician of respiratory medicine, led respiratory medicine, oncology department, breast surgery, radiology department, cardiovascular medicine, thoracic surgery, rheumatology and Immunology Department, otorhinolaryngology department A number of Zhejiang hospital experts such as health management center walked into Suiyuan Jiashu elderly apartment and held large-scale free clinic activities.

Huang Qingdong said in his speech that in China, the prevalence of chronic obstructive pulmonary disease among people over the age of 40 has reached 13.7%. The proportion of patients who knew they were suffering from the disease before medical treatment and clear diagnosis is only 2.6%. The mortality of patients with chronic obstructive pulmonary disease within 3.6 years after their first hospitalization is as high as 50%. As a disease with high incidence rate, high concealment and high mortality, early diagnosis, early detection and early treatment are the key. Zhejiang hospital has been guarding public health for 66 years. Two years ago, it entered the era of two hospitals and districts. The hospital also "goes all out for public health" with new vitality. In the future, Zhejiang hospital experts will go out of the hospital more and go into communities, schools and nursing homes to repay the people's love and support for the hospital, further improve medical service actions, deepen the "once at most" reform, and help build a healthy Zhejiang.

Pulmonary nodule joint outpatient specialist

"The doctor came to me"

"It's so convenient. I was waiting for my daughter to take me to the hospital when she was free. Now the doctor came to me!" 78 year old Aunt Chen (a pseudonym) took out this year's and last year's chest CT, Huang Qingdong, deputy director of Radiology, Feng Yue, chief physician, deputy director of thoracic surgery, Chen Xiaofeng, deputy chief physician, and gave her a "reassurance": there was basically no change in micro nodules, Regular review is recommended.

Aunt Chen first detected pulmonary nodules last year. She heard that it was lung cancer. She was really frightened. She didn't sleep well for days and nights. I believe that many patients have trouble sleeping and eating when they get the diagnosis of pulmonary nodules for the first time. Pulmonary nodules are not tangled. Huang Qingdong said that after finding pulmonary nodules, it is recommended to see a specialist for further diagnosis and treatment according to the size, density and follow-up changes of nodules. It is best to check in the same hospital for dynamic comparison of image data. Zhejiang hospital deepened the reform of "running once at most" and launched "joint outpatient service for pulmonary nodules". This efficient and high-quality "one-stop" diagnosis and treatment service not only eliminates a lot of energy and financial resources consumed by patients running back and forth and queuing up repeatedly among multiple departments, but also provides the best diagnosis and treatment scheme after discussion by multidisciplinary experts, Other specialists can also be invited for consultation according to whether the patient has other accompanying diseases. "Patients diagnosed and treated in the hospital can also enjoy the whole process intimate medical services of the first provincial hospital lung cancer diagnosis and treatment Integration Center (ILCC) awarded by Zhejiang Cancer Association," Huang said.

"World COPD day" also talks about the relationship between pulmonary nodules and COPD. Huang Qingdong said that normally, pulmonary nodules are not necessarily related to COPD, but patients with COPD have pulmonary nodules. The diagnosis and treatment plan should pay more attention to the state of pulmonary function and emphasize the standardized treatment of COPD. Symptomatic lung care, free breathing, we must pay attention to their own lung health.

Treat this disease as pharyngitis

He had respiratory failure when he came to the hospital

"I always thought it was pharyngitis and took so many anti-inflammatory drugs." Uncle Zhang (pseudonym), 68, who was discharged from Zhejiang hospital not long ago, said that he was still a little regretful about his condition. After 40 years of smoking, he began to cough and expectorate many years ago. Later, he had chest tightness and shortness of breath, but these did not attract attention. It was not until half a month ago that he came to see a doctor when his endurance decreased and he was difficult to take care of himself. Finally, he was diagnosed with COPD. Moreover, due to the long time of misdiagnosis, he has gone from simple COPD complicated with respiratory failure and pulmonary heart disease. Fortunately, he was finally discharged home after receiving regular diagnosis and treatment.

Tang Tingyu, deputy director of respiratory medicine of Zhejiang hospital (presiding over the work), chief physician, shared the case on site. She said that the awareness rate of COPD patients is very low. Clinically, it is particularly obvious that there are some misunderstandings in patients' understanding of chronic bronchitis and COPD. Chronic bronchitis, especially smokers, often cough and expectorate in the morning and at night. COPD is a persistent airflow restriction beyond the symptoms of cough and expectoration, and dyspnea after activity, which can be confirmed by pulmonary function examination.

At present, the etiology of COPD is not very clear, but cold, dryness, smoking and environmental pollution are the risk factors of COPD. Dyspnea, chronic cough, expectoration and wheezing are the main symptoms of COPD, as well as the main reasons for the loss of physical fitness and the decline of quality of life. Patients often have shortness of breath, asthma and laborious breathing; In the early stage, it only appears during labor, and then gradually aggravates, so that you feel short of breath during daily activities and even rest.

She suggested that if you are over 40 years old, have a history of smoking and have the above symptoms, you must go to the hospital for examination. Because COPD can be prevented and treated, as long as we adhere to long-term standardized medication, quit smoking, self-test, regular follow-up and active rehabilitation training under the guidance of doctors, we can breathe freely.

"Auntie, you blow as hard as you can"

Convenient service is highly praised

"Auntie, you blow with the greatest strength, and then inhale with the greatest strength." at the free clinic, the medical staff were busy testing the lung function of the uncles and aunts. "Your lung function is declining. Look at this value. You must have difficulty gasping when you go upstairs. We have to intervene, otherwise this phenomenon will become more and more obvious in the future."

In addition, Wang Yanhong, head nurse of Huang Qingdong, Tang Tingyu and Zhejiang Hospital Respiratory Medicine (three yard area), respectively brought the "nodules of lung nodules" to the elderly, "let's learn about chronic obstructive pulmonary disease" and "COVID-19 self protection". The activity also provided free blood glucose measurement, free blood pressure measurement, pulmonary function examination, portable breast ultrasound and other services for the elderly, which was highly praised on the spot.