Can pneumoconiosis be cured? Treatment principles to know

Pneumoconiosis is also called black lung disease. Generally, patients stay in dusty places for a long time, which will cause changes in the lungs and cause symptoms such as fever, shortness of breath, loss of appetite, and fatigue. Timely comprehensive treatment is required to stay away from dusty environments.

1. Pneumoconiosis patients should be promptly transferred away from dusty work and receive comprehensive treatment according to their condition, actively prevent and treat tuberculosis and other complications, in order to alleviate symptoms, delay disease progression, increase patient life expectancy, and improve patient quality of life.

2. Treatment principles: Disconnect immediately from the patient, keep quiet and keep warm. If irritation occurs, observe closely for at least 12 hours and give symptomatic treatment. Those who inhale a large amount should rest in bed to avoid worsening of the condition after activity, and use sprays and oxygen. If necessary, intravenous injection of glucocorticoids will help control the progression of the disease.

3. Reasonable oxygen therapy can choose appropriate methods to give oxygen. The concentration of inhaled oxygen should not exceed 60% to maintain the arterial oxygen partial pressure at 8-10kPa. If severe pulmonary edema or acute respiratory distress syndrome occurs, continuous positive airway pressure (CPAP) via nasal mask or positive end-expiratory pressure (PEEP) therapy through tracheotomy should be given, and the end-expiratory pressure should be around 0.5 kPa (5 cmH2O).

4. Use glucocorticoids early, in sufficient doses, for a short period of time, and prevent side effects.

5. Maintain airway patency by giving nebulizer inhalation therapy, bronchial spasmolytics, and dimethyl silicone oil (Defoaming Net) as a defoaming agent; if indicated, perform tracheotomy in a timely manner.

6. Prevent secondary infection, maintain blood pressure stability, properly control infusion and use of diuretics, and correct acid, alkali and electrolytes