Sep 09 2008
Patients with advanced cancer, respiratory complications in the diagnosis and treatment
First, the definition of breathing difficulties
Difficulty breathing when breathing is a difficult feeling unhappy. Asthma patients to doctors complaining of symptoms; shortness of breath (rapid breathing) and deep breathing (breathing to increase the depth) is the doctors found signs, but both can not be used as breathing difficulties in the diagnosis, they are always with a certain degree of subjective Sexual. Patients died in the last few weeks, difficulty in breathing more common, and often more serious. If there is difficulty in breathing, the patient may also be accompanied by anxiety. End-stage patients, 25 percent will appear different degrees of difficulty breathing. Difficulty breathing is second only to the general condition of the body of an independent assessment of the prognosis indicators.
Second, the end stage of the reasons for breathing difficulties
Caused by the treatment: radiation caused by pulmonary fibrosis, cancer chemotherapy: winning glory such as Adriamycin, adriamycin and sub-nitrosourea, and so on. 
Caused by cancer: cancer caused by pleural effusion, the bronchial obstruction and lung cancer were replaced, inflammatory lymphatic cancer, the mediastinum packing, pericardial effusion, a large number of ascites and abdominal swelling.
With cancer and (or) failure of the situation: anemia, atelectasis, pulmonary embolism, pneumonia, emphysema evil disease of anorexia syndrome and a weak (weak).
And complications related to medical conditions: chronic obstructive pulmonary disease, asthma, heart failure, acidosis.
Third, the treatment of breathing difficulties
1 ⋯ when its treatment of all the above symptoms, it is important to the diagnosis and treatment of breathing difficulties caused reasons. Special reversible causes and treatment for the disease include:
(1) of cancer caused by the obstruction (upper respiratory tract, bronchial, or superior vena cava): available radiotherapy, hormone therapy or chemotherapy for cancer sensitive.
(2) cancer of the lymphatic inflammation: Try corticosteroid hormones, or dexamethasone 8 mg/24h × 7d, if effective, will give the maintenance dose of 2 ~ 4 mg/24h.
(3) bronchospasm: bronchiectasis agent can ease symptoms.
(4) heart failure: diuretics and can be suitable for other drugs.
(5) pulmonary infection: a reasonable application of antibiotics and pulmonary physical therapy.
(6) pleural effusion: pleural drainage [chest drainage and (or) if necessary, can also be closed thoracic drainage].
(7) massive ascites: abdominal puncture release of liquid.
(8) anemia: blood transfusion (only in hemoglobin <80 g / L, will be considered in blood transfusion).
2 of drug treatment
Interaction between the three drugs
4 recommended drug application