"White lung" disease is often complex causes, the situation is dangerous, clinical diagnosis of the disease is difficult. The key to treating this disease is to find the cause and timely and effective comprehensive treatment. In November 2010, a diabetic patient with many complications developed respiratory distress after a cold, and the X-ray examination showed that both lungs were white, and he was diagnosed with severe pneumonia combined with respiratory failure, accompanied by heart, kidney and other organ failure, and his life was in danger. The diagnosis and treatment were clarified, and measures such as tracheotomy and the use of protective pulmonary mechanical ventilation were immediately taken to improve the patient's oxygen supply. On this basis, the treatment team chose the most appropriate and sensitive anti-microbial agent for the patient based on clinical experience and experimental data, which finally saved the patient's life.
While the drug treatment of "white lung" disease, airway management, respiratory support therapy, nutritional support and nursing care, psychological guidance is equally important.
Causes
The most common cause of "white lung" is infection, followed by diffuse alveolar hemorrhage syndrome, acute respiratory distress syndrome (ARDS), etc. The expert treatment team has been exploring new treatment modes according to the different types of "white lung". Based on the review of a large number of foreign literature, combined with their own clinical experience, they put forward protective pulmonary ventilation strategies, such as low tidal volume, low airway pressure, control of excessive respiratory rate, high-dose gammaglobulin shock therapy, bedside continuous blood purification, active control of infections, and control of complications and multi-organ failure as a comprehensive treatment method, and so on.
The pathogenetic diagnosis of "white lung" is very important, Xiangya Hospital Respiratory Intensive Care Unit, on the basis of routine sputum examination, bronchial secretion and lavage fluid examination, adopts bronchial mucous membrane biopsy, lung biopsy and other means to clarify the pathogenetics, so as to shorten the diagnosis time which originally required 4-5 days to only 1-2 days, and to provide the next step of symptomatic treatment for the patient. This shortens the diagnostic time from 4-5 days to only 1-2 days, which wins valuable time for the next step of symptomatic treatment and greatly improves the diagnosis and treatment rate.
There is a lot to be said about when to use which medication, when to intubate, when to suction, and when to give oxygen. At the same time, it is also necessary to closely observe the patient's urine volume, urine color, bowel movements, weight and other changes. For children and the elderly treatment is more difficult and risky.