Symptoms of cor pulmonale in the elderly 1, chest pain
Due to fibrosis and adhesion of chest wall, pleura or mediastinum. Symptoms of patients with cor pulmonale will feel retrosternal pain during exercise. This kind of pain is often difficult to distinguish from left ventricular ischemic pain, so it is considered as? Right angina pectoris? This may be due to right ventricular hypertrophy, which increases the demand for oxygen over the supply of oxygen, leading to right ventricular ischemia.
2. Shortness of breath
Shortness of breath is also a common symptom of pulmonary heart disease in the elderly, accounting for about 8 1% according to statistics. When the patient has normal respiratory function and mild pulmonary hypertension, he is only short of breath when he is active. When the airway resistance increases, patients will feel lack of air and have difficulty breathing. In severe cases, auxiliary muscles are used, and shortness of breath is aggravated. At this time, they will feel short of breath when resting, and in severe cases, they will be forced to sit down and cannot lie flat. If patients with cor pulmonale suddenly have shortness of breath, we should consider whether they are complicated with pulmonary embolism.
3. Cough and expectoration
Patients often have a long history of cough and expectoration, accounting for about 90% and 83% respectively. Every cold season, the disease is prone to acute attack, cough intensifies, sputum volume increases, and turns into yellow sputum, suggesting that infection is aggravated. Generally speaking, in the remission period, the symptoms of cor pulmonale can be alleviated, the amount of sputum is reduced, and the sputum turns from yellow to white and becomes thin. But sometimes, due to the aggravation of the disease, the patient is extremely tired, the bronchus twitches violently and he is unable to cough. At this time, although he does not cough up phlegm, his condition may deteriorate rapidly and should be closely observed.
Treatment of senile cor pulmonale in acute attack 1
(1) wind-cold type (early stage of acute attack): cough with short breath, inability to lie down, palpitation, frothy phlegm, chest fullness with retching, edema of limbs, fever with aversion to cold, white and greasy fur and tight pulse. The treatment should be to relieve exterior syndrome and dispel cold, and to warm interior and change drinking.
Prescription: Herba Ephedrae 10g, Ramulus Cinnamomi 10g, Rhizoma Pinelliae Preparata 12g, Asari 6g, Radix Paeoniae Alba 12g, Fructus Schisandrae Chinensis 12g, Almond 12g, and dried ginger 6g. Decoct with water.
(2) Phlegm-heat type (aggravated respiratory infection): fever, facial discomfort, irritability, phlegm retention, difficulty in expectoration, yellow fur and rapid pulse. It is advisable to clear away heat and resolve phlegm and change to drink.
Prescription: gypsum 30g, houttuynia cordata 30g, Rhizoma Anemarrhenae12g, Scutellariae Radix15g, Bulbus Fritillariae Cirrhosae 6g, Fructus Gardeniae 20g, Rhizoma Phragmitis 30g, almond12g, Radix Isatidis 30g, Radix Platycodi12g and Radix Peucedani/kloc. Decoct with water.
(3) Heart-qi stagnation type (cardiac insufficiency): cough, asthma, shortness of breath, fever and chills; Pale face, unable to lie flat, open mouth and lift shoulders, palpitation, edema, blue lips and nails. Pale tongue, greasy white fur and weak pulse. It is advisable to warm the yang and benefit the water, and disperse the knot and dissolve the drink.
Prescription: Poria cocos 30g, Atractylodes macrocephala 30g, Radix Codonopsis 60g, Ramulus Cinnamomi 10g, Alisma orientalis 10g, Radix Aconiti Lateralis 20g (fried first), Semen Lepidii 12g, Radix Ophiopogonis 20g and Cortex Mori 12g. Decoct with water.
2. Remission period
Chronic cor pulmonale still has symptoms such as shortness of breath, cough and asthma, palpitation, etc. However, compared with the acute phase, it is relieved and relieved. In this period, it is advisable to strengthen the vital energy and make up the deficiency.
Prescription: Ganoderma lucidum (fried first) 30g, walnut kernel 30g, Ophiopogon japonicus 20g, Astragalus membranaceus 30g, Codonopsis pilosula 30g and Schisandra chinensis 20g. Decoct with water. This prescription should be taken regularly to reduce acute attacks.
What to eat is good for cor pulmonale 1, and ensure the intake of high-quality plant protein, such as soybeans and dried fruits (sesame seeds, melon seeds, walnuts, almonds and pine nuts). All kinds of fish, poultry, lean meat, eggs and milk foods should be guaranteed as much as possible, so that meat and vegetables can be matched with each meal.
2. Fresh vegetables and fruits are indispensable, especially green vegetables, which are rich in vitamins and inorganic salts and play an important role in improving immunity. Pear, watermelon, orange, jujube, longan, etc. Fruit is good for preventing cor pulmonale.
3, pay attention to hydration, drink boiled water every day, can keep the respiratory tract moist, which is conducive to sputum discharge and smooth breathing.
4. Eat more neutral foods and less cold foods, or add some hot foods such as ginger and pepper to cold foods, or add some warm foods such as mutton, beef and dog meat to vegetables. Some foods, such as shrimp and crab, are easy to cause allergies, so it is necessary to limit them appropriately.
5, in addition, you can also take some drugs to strengthen the spleen and stomach, help digestion, or regulate the normal flora of the gastrointestinal tract. Eat less fat; Avoid alcohol, strong tea, spicy and strong condiments; Avoid foods that cause bloating, such as potatoes; Avoid overeating, lest increase the burden on the heart.
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