Late pre death symptoms of patients with cor pulmonale?

summary

Speaking of the occurrence of cor pulmonale, we are not particularly unfamiliar with it. The occurrence of cor pulmonale seriously endangers the health of patients' friends. Therefore, we must treat it in time. Cor pulmonale is caused by repeated attacks of chronic bronchitis, obstructive emphysema, bronchiectasis, tuberculosis, bronchial asthma and pneumoconiosis, which leads to right ventricular hypertrophy, And then develop right heart failure. What are the symptoms of patients with cor pulmonale before death? Let's study and discuss with you.

Late pre death symptoms of patients with cor pulmonale?

First of all: there will be dyspnea, dyspnea, shortness of breath, cyanosis, palpitations, faster heart rate, headache, restlessness, convulsions, heart failure and a series of manifestations. Pulmonary heart disease in the compensatory period can appear cough, expectoration, shortness of breath, after activity can have palpitations, dyspnea, fatigue and decreased labor endurance. Less chest pain or hemoptysis. In the decompensated period, dyspnea worsens, especially at night, often with headache, insomnia, loss of appetite, but drowsiness during the day, and even pulmonary encephalopathy such as apathy, trance and delirium.

Secondly, heart failure often occurs after acute respiratory tract infection, so it is often combined with respiratory failure, patients with asthma, palpitations, oliguria, cyanosis aggravation, epigastric pain, loss of appetite, nausea and even vomiting and other symptoms of right heart failure. Physical examination showed that the jugular vein was distended, the heart rate was increased, and the systolic murmur caused by galloping horse rhythm or relative tricuspid insufficiency could be heard in the precordial area. All kinds of arrhythmias, especially atrial arrhythmia, hepatomegaly with tenderness, positive liver neck anti hydraulic sign, edema and ascites, and shock may occur in severe cases.

Finally: cor pulmonale is a kind of heart disease caused by chronic bronchitis, obstructive emphysema, bronchiectasis, tuberculosis, bronchial asthma and pneumoconiosis, which leads to right ventricular hypertrophy and even right heart failure. In the early stage, all patients had a history of chronic cough, expectoration or asthma, and gradually developed fatigue and dyspnea. Physical examination showed obvious emphysema performance, late respiratory failure, heart failure performance for chest tightness, asthma, palpitation, oliguria, cyanosis aggravation, epigastric pain, loss of appetite, nausea and even vomiting.

matters needing attention

1. The living environment is mainly warm and humid, comfortable environment will make patients have a comfortable mood, and has a certain role in the rehabilitation of the disease. Room temperature is best maintained at about 20 ℃, the room to maintain a certain humidity, air circulation. Southern cities can keep windows open to ensure fresh air, while northern cities can open windows half an hour in the morning for ventilation. Room to avoid pungent smell, do not burn coal or carbon in the room, cooking fumes, smell of new house decoration, smell of new furniture, dust and other pungent substances, should be avoided as far as possible. 2. For appropriate exercise, patients with cor pulmonale can choose appropriate exercise according to their own condition and physique, such as Qigong, walking, Taijiquan, radio exercise, etc. appropriate exercise can enhance the disease resistance ability of patients. In the morning, you can wash your face with cold water, and then massage your face and head with your hands, about 5 minutes each time, which can strengthen the cold resistance ability of patients' upper respiratory tract.