The lungs large shadow, wash out a dozen bottles of milk in bronchoalveolar lavage"

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Liu a few months because of cough to go to the doctor, the local hospital shooting said he caught pneumonia and transfusion for a month is n

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Liu a few months because of cough to go to the doctor, the local hospital shooting said he caught pneumonia and transfusion for a month is not good, so I came to the hospital. We can see two large pulmonary lung CT under low density, but only in patients with cough and exertional dyspnea, but no symptoms of fever. Even more surprising is the patients blood leukocytes in mild to moderate increased proportion of monocytes increased significantly. So for bronchoscopy, the patency of NO secretion, then underwent bronchoalveolar lavage examination results poured into saline pure, out of it is like milk like liquid, the results of pathological examination confirmed pulmonary alveolar proteinosis. Because of the abnormal Liu went to the Department of Hematology is a chronic myelomonocytic leukemia, so the old Liu is a very rare disease, chronic myelomonocytic leukemia complicated with pulmonary alveolar proteinosis, I work more than ten years is the first case.

Because Liu focus area is too large, so a department of respiration doctors gave him a general anesthesia in the operating room of the whole lung lavage with saline, ten rise down, finally basically his lungs to clean, Liu also feel smooth gas people are much more comfortable.

What is the cause of pulmonary alveolar proteinosis? Why can be washed out from the lungs so much milk? The basic unit is the original pulmonary alveolar, two pulmonary alveolar millions, the alveolar usually keep an open state, so that the outside oxygen to reach into the body through the bronchial alveolar capillary. But let's keep this state of substance called alveolar surfactant, which is secreted by alveolar epithelial cells. As everyone knows, we have every day for a long time this The new supersedes the old., surfactant will lose the function to be removed in alveolar macrophages. Then the problem is out of the macrophage, due to macrophage dysfunction, unable to remove these substances, the terrible consequences produced, these loss of function protein accumulated in the alveoli, with the change of time will accumulate more and more with the alveolar protein, can cause chronic cough, respiratory activity a difficult situation. However, this disease has a very special imaging performance to help us identify, that is similar to the stone road in our park on the CT, we call the paving stone sign.

How to treat this disease? At present, the most effective way to confirm the most effective way is to carry out bronchoalveolar lavage, these useless garbage to clean up, so that the function of alveolar recovery.

 

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