Characteristics of auscultation for bronchial asthma

Written by Yuan Qing
Pulmonology
Updated on January 29, 2025
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Bronchial asthma, commonly known as asthma, is mainly a chronic airway inflammatory disease involving various inflammatory cells and their components. This condition causes the bronchi to narrow and spasm, hindering the passage of air through the airways into the alveoli. Since bronchial asthma primarily affects the smaller bronchi, expiratory wheezes or stridor can often be heard upon auscultation of the trachea. In severe cases, no sounds may be heard from the patient's lungs, a condition referred to as "silent lung," which is an indication of a serious progression of the disease.

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Written by Han Shun Li
Pulmonology
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Bronchial asthma auscultation characteristics

During a recurrence of bronchial asthma, symptoms such as wheezing, shortness of breath, chest tightness, and coughing occur. During an attack, the patient's chest often appears hyperinflated. Upon auscultation, scattered or diffuse wheezing sounds can be heard, primarily during expiration, and the expiration phase is also prolonged. However, in some severe asthma cases, wheezing sounds may not be present, a condition referred to as "silent chest," which should be noted. If an asthma attack cannot be relieved, it is important to seek medical attention promptly for management by a doctor.

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Written by Yuan Qing
Pulmonology
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Is oxygen inhalation useful for bronchial asthma?

Administering appropriate oxygen therapy can have certain benefits for patients with bronchial asthma. The onset of bronchial asthma is mainly due to the edema of the bronchial mucosa and the constriction of the smooth muscles outside the bronchi leading to the narrowing of the lumen. This makes it difficult for gases to pass normally through the airway into the alveoli. Patients may experience symptoms such as coughing, chest congestion, breathlessness, or wheezing, which are primarily due to the pathophysiology of bronchial asthma. Of course, providing patients with appropriate oxygen therapy during an asthma attack can be beneficial, temporarily solving the problem of hypoxia. However, it is important to understand that asthma patients are not primarily suffering from a lack of oxygen but from ventilation dysfunction, which leads to the inability to expel carbon dioxide, the waste gas, from the body. Therefore, the fundamental treatment should focus on improving airway spasms and narrowing to enhance ventilation.

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Written by Wei Shi Liang
Intensive Care Unit
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Prevention and Treatment of Bronchial Asthma

The prevention and treatment of bronchial asthma mainly involve the following aspects: First, eliminating the causes and triggers of the disease; second, preventing diseases and pests such as allergic rhinitis and gastroesophageal reflux disease; third, immunomodulation; fourth, routinely checking if inhaled medications are used correctly; fifth, education and management of asthma patients, mainly allowing them through long-term, appropriate, and sufficient treatment to fully and effectively control asthma attacks. Additionally, understanding individual differences in asthma triggers to avoid occurrences, learning patient self-monitoring of disease progression, mastering the use of inhalers and peak flow meters, and educating patients on simple self-help methods are essential. It's important for patients and doctors to jointly develop a plan to prevent asthma attacks and maintain long-term stability. These are the basic elements of the prevention and treatment of bronchial asthma.

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Written by Wang Chun Mei
Pulmonology
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massage which part for bronchial asthma

Bronchial asthma is a very common disease in clinical practice. There are many and complex factors that trigger bronchial asthma. Therefore, treatments for bronchial asthma in clinical practice can only improve the condition to some extent but cannot completely cure it. Patients with mild bronchial asthma can also undergo acupoint massage, which has a good auxiliary conditioning effect. Commonly chosen acupoints for massage include Dazhui, Dingchuan, and Neiguan, which can appropriately alleviate bronchial asthma. The frequency of each massage is twice a day, with each session involving about 20 to 40 presses, which can achieve a certain degree of relief.

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Written by Wei Shi Liang
Intensive Care Unit
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Can bronchial asthma be treated with nebulization?

Patients with bronchial asthma can undergo nebulization, especially pediatric asthma patients who are more suited for nebulizer therapy. Nebulization inhalation is currently a safe and effective method for treating childhood asthma and is listed by the World Health Organization as the first choice for global asthma prevention and treatment. For severe asthma during acute exacerbations and attack periods, nebulization therapy is not recommended. When using nebulization therapy, it is important to regularly disinfect the nebulizer and replace it periodically. During severe bronchospasm, it is important to avoid using excessive doses of receptor agonists, and care should be taken to avoid too low drug concentrations during nebulization, as it is not conducive to the effectiveness of the treatment.