I could help: 1) Many FDA grade Clinical Trials and The New
I could help:
1) Many FDA grade Clinical Trials and The New England Journal of Medicine (NEJM), https://www.nejm.org/
grade of Clinical Cases ( "Anecdote"- real ) as proof. If not reverse, at least limiting the progression of many
2) Possibly send the patient to my hospital in China, while I direct my staff/Medical Doctors to follow the Protocols after diagnosis and evaluation/prognosis, etc.
3) Since I rarely get on this clumsy Posting page, you might want to leave msg or start another private chat room for the sake of your privacy etc. Not sure even they have that Function here or not.
COPD exacerbations are associated with increased airway and systemic inflammation and physiological changes, especially the development of hyperinflation. They are triggered mainly by respiratory viruses and bacteria, which infect the lower airway and increase airway inflammation.
Symptoms · Shortness of breath, especially during physical activities · Wheezing · Chest tightness · A chronic cough that may produce mucus (sputum) ..
没有看病人，所以一切按主治医生的意见。。。
How many people have COPD in China? The prevalence numbers increased by 67.8%, from 27.75 million (95% UI: 26.16–29.38) in 1990 to 45.17 million (95% UI: 41.13–49.62) in 2019. 70岁以上男性，既往抽烟历史。有上面的症状。做一个肺活量FEV1就可以确诊。
上次在群里问我父亲气喘的情况，得到网友的热心回复，建议去医院检查
https://bbs.wenxuecity.com/health/1082920.html
父亲大约一周前去了当地医院（小城市），CT检查发现大量胸腔积液，做了胸腔穿刺排除了积液，目前气喘尤其咳嗽情况有好转。医生目前怀疑肺结核或者肺部肿瘤可能性最大，胸液病理报告显示淋巴细胞较多。因为春节医院主要医生还没有上班，所以还没有最后确诊。有可能要做胸腔镜。
下面是胸腔积液抽出前后做的两次CT结果：
请问大家，我父亲这种情况接下来应该做什么检查和治疗。胸腔镜风险大吗？是否应该换一家更大的医院，比如省级医院？现在医院人满为患，换家医院没有关系也不知道能不能住进去。父亲半年前因为肠癌二期在同一家医院做过手术，当时出了一点意外，医生手术中不小心把肠子弄破，腹腔严重感染，ICU住了一个多星期。因为当时没有发现转移，加上身体状况差（尽管刚刚70出头），就没有做化疗。
请大家帮我出出主意。我人在国外，因为签证问题没有办法马上回去，心里很着急，心情很崩溃，还有深深的无力感。谢谢！
你爸年龄还不算大，争取一下。
另外肠癌肺转移也有可能。PET CT可以看到肺结节大小，然后再决定是否穿刺确诊。胸腔镜不知道，想看什么？
如果小医院有资源，在小医院治疗可以同时享受小医院和大医院的好处。
抽出胸积液可以马上缓解气喘症状，更重要的是，化验胸积液有助于诊断，是否有结核菌，其它菌感染，是否有癌细胞，等等。
不大，如果是肠癌转移，腹部可能首先出现问题。肿瘤科的医生
应该首先排除covid感染，
肺气肿和气喘都是copd的并发症。国内翻成慢性肺阻塞综合症
I could help:
1) Many FDA grade Clinical Trials and The New England Journal of Medicine (NEJM), https://www.nejm.org/
grade of Clinical Cases ( "Anecdote"- real ) as proof. If not reverse, at least limiting the progression of many
2) Possibly send the patient to my hospital in China, while I direct my staff/Medical Doctors to follow the Protocols after diagnosis and evaluation/prognosis, etc.
3) Since I rarely get on this clumsy Posting page, you might want to leave msg or start another private chat room for the sake of your privacy etc. Not sure even they have that Function here or not.
我父亲以前确实吸了很多年的烟，去年做手术才戒烟。我们之前也怀疑是否和新冠有关，但是他这个气喘的症状已经至少有两个月了，只是最近严重了。到医院后医生做CT后排除了病毒细菌感染的可能性，并没有马上做核酸检测，几天后做了核酸呈阴性。不知道是不是他早就感染了，所以现在阴性。
https://www.healthline.com/health/copd/tests-diagnosis
According to the COPD GOLD guidelines from 2016:
COPD exacerbations are associated with increased airway and systemic inflammation and physiological changes, especially the development of hyperinflation. They are triggered mainly by respiratory viruses and bacteria, which infect the lower airway and increase airway inflammation.
Symptoms · Shortness of breath, especially during physical activities · Wheezing · Chest tightness · A chronic cough that may produce mucus (sputum) ..
没有看病人，所以一切按主治医生的意见。。。
How many people have COPD in China? The prevalence numbers increased by 67.8%, from 27.75 million (95% UI: 26.16–29.38) in 1990 to 45.17 million (95% UI: 41.13–49.62) in 2019. 70岁以上男性，既往抽烟历史。有上面的症状。做一个肺活量FEV1就可以确诊。