Treatment of lobar pulmonary isolation by TCM

The extralobar type is that the isolated focus of the lung is formed outside the lobe of the lung, and there is a septum of the visceral pleura between the lobe of the lung and the normal lobe, that is, the isolated lung outside the lobe is wrapped in a complete visceral pleura. Another feature is that it is usually associated with other malformations. Common left diaphragmatic hernia, accounting for 30%, but also often associated with cardiovascular malformation, funnel chest, bronchial cyst, esophagobronchial fistula and so on. In the aspect of blood supply, the extralobar type isolates the pulmonary artery, and the blood supply of abdominal aorta is more common. Most of the veins are reflux through the inferior vena cava, portal vein or azygos vein.

In terms of treatment, extralobar pulmonary sequestration is the most suitable for surgical treatment with western medicine. However, whenever surgery, traditional Chinese medicine will hurt vital qi, so under the premise of not affecting physiological function, growth and development, infants with extralobar pulmonary sequestration do not need to undergo surgery. And, generally speaking, intra-lobar and extralobar pulmonary sequestration, in most cases, is the occurrence of infection, the symptoms will appear.

Clinically, extralobar pulmonary sequestration occurs in the posterior segment of the left lower lung, accounting for about 90%. The other 10% or so often occurs under the diaphragm or in the mediastinum. Now almost all babies are born in the hospital, and all tests have to be done, so it is easy to find out. Once pulmonary sequestration is found in newborns from radiography and other examinations, care should be taken to prevent newborns and infants from suffering from infectious diseases such as colds.

Extralobar pulmonary sequestration is normally isolated from the lung tissue and adjacent bronchial ventilation. In CT and other radiography, it will appear as a normal and uniform density mass of soft tissue with the same density as the lung lobe, and the site that needs attention is the posterior part of the left lower lung. Extralobar isolation of the lung is mostly mass, some are round, some are oval or lobulated mass, which can oppress the surrounding organs and tissues, and need to be distinguished from bronchiectasis, pneumonia, lung abscess, lung tumor and so on.