Cough and phlegm lasted for two years, but it was bronchitis that caused the trouble!

(Disclaimer: This article is for scientific purposes only, in order to protect the privacy of the patient, the relevant information in the following content has been processed) Abstract: The patient in this case is an elderly male, 2 years ago, coughing, coughing up sputum, and recurrent episodes, but did not treat. 1 year ago, the symptoms aggravated, and the symptom of wheezing appeared. Recently the discomfort symptoms than before again aggravated, so he came to our hospital, after examination and diagnosed as bronchitis, the patient was given medication, the symptoms were relieved, and there was no recurrence, and is still in regular follow-up. Basic information] Male, 70 years old [Type of disease] Bronchitis [Hospital] The First Affiliated Hospital of China Medical University [Date of consultation] August 2020 [Treatment plan] Intravenous drip (cefuroxime sodium injection, aminobromine hydrochloride injection, aminophylline injection) + oral medication (aminobromine hydrochloride tablets, aminophylline tablets) [Treatment cycle] 2 weeks of drug treatment, regular follow-up [Effect of treatment] Improvement, discomfort symptoms disappeared. The patient is a 70-year-old man with hypertension and high cholesterol. Patient is a 70-year-old man with a history of hypertension, hypercholesterolemia and prostatic hyperplasia. He complained of recurrent coughing and sputum without any triggers for more than 2 years, and the sputum was mostly white mucous sputum, which mostly appeared after getting cold, but he did not take any medication for the purpose of diagnosis and treatment. In the past 1 year or so, the patient suffered from wheezing after a slight increase in activity. Recently, he caught a cold accidentally, which aggravated his discomfort. In order to seek further treatment, she came to our hospital today. Physical examination at the outpatient clinic showed that both lungs were clear in the middle, and the respiratory sounds of both lungs were low; and chest CT was performed, which showed that there were lung pustules in the upper lobes of both lungs, and there was inflammation in the upper lobe of the left lung. Therefore, combining the patient’s course of disease, symptoms, and examination results, the preliminary diagnosis was bronchitis. The patient was diagnosed with chronic bronchitis, which is a type of bronchitis, after the patient cooperated with the improvement of blood routine, sputum smear and other related examinations, and excluded influenza, cough variant asthma and other diseases. The progress of the patient’s condition was then explained to the family and the patient, and the family decided to hospitalize the patient after deliberation in order to control the patient’s condition. According to the patient’s condition, drug treatment was proposed, which mainly included intravenous injection of cefuroxime sodium to reduce inflammation and anti-infection; the use of aminoglutethimide hydrochloride injection to help the patient to resolve sputum and promote the discharge of sputum; considering that the patient still has the symptom of wheezing, aminophylline injection was added to dilate the bronchial tubes and calm the wheezing effect. After 1 week of hospitalization, the symptoms were improved, and the patient was discharged from the hospital and continued to take Ambroxol hydrochloride tablets and aminophylline tablets at home. After 1 week of in-hospital treatment, the patient’s symptoms such as wheezing, coughing and sputum basically disappeared, and considering the patient’s strong desire to be discharged from the hospital, he was discharged from the hospital. One week after discharge, the patient returned to the hospital for follow-up, and reported that his cough and sputum had disappeared, and he did not feel breathlessness after going out. Physical examination and CT examination of the lungs showed no obvious abnormality, and the medication could be stopped, but regular follow-up is still needed to prevent recurrence. After 1 week of in-hospital treatment, the patient’s condition was initially controlled and his discomfort subsided, so he was very happy, and I was also glad for the patient’s improvement. Considering that the patient wanted to recuperate at home, I advised the patient and his family to keep the air circulating in the living environment and open the windows regularly for ventilation. At the same time, because the patient was relatively old and his resistance was poor, he should add clothes according to the weather when he went out, so as to avoid catching a cold, which could trigger the disease; lastly, during the period of staying at home if the patient coughed up sputum with great difficulty, his family could pat the patient on the back, which could help the patient to dislodge the sputum. Finally, if the patient has difficulty in coughing up sputum at home, family members can pat the patient’s back to help the patient discharge the sputum. V. Personal Insight: Tracheitis is common in the elderly, often exacerbated by cold and infection. Therefore, similar to the elderly patients in this case, they should do a good job of personal protection in their daily life to avoid catching a cold; and at the same time, appropriate physical exercise, reasonable nutrition, and maintain a positive and optimistic mindset can improve their own resistance and reduce the chances of bacterial infection, which is of positive significance in preventing the recurrence of tracheitis. If the patient is discharged from the hospital with symptoms such as coughing up sputum, wheezing, shortness of breath, etc., he should go to the hospital in time.