61-year-old man suffers from bronchitis, but it’s also linked to a viral infection

(Disclaimer: This article is only for scientific purposes, in order to protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: The patient in this case is an elderly patient, the night before the consultation, fever, chills, cough and other uncomfortable symptoms, in the home on their own medication has not been relieved, and then went to our hospital, after the relevant examination diagnosed as tracheitis, and medication, the patient’s body temperature gradually returned to normal, the discomfort gradually disappeared after 5 days of hospitalization, and was discharged from the hospital at home. The patient’s body temperature gradually returned to normal and his discomfort gradually disappeared. He was hospitalized for 5 days and was discharged and is now recuperating at home. Basic information] Male, 61 years old [Type of disease] Bronchitis [Hospital] The First Affiliated Hospital of China Medical University [Date of consultation] September 2020 [Treatment plan] Oral medication (acetaminophen tablets) + intravenous injection (Ambroxol Hydrochloride Oral Solution, Dextrose Sodium Chloride Injection) [Treatment cycle] Hospitalized for 5 days, rechecked in a week [Effect of treatment] Recovered from the disease, discomfort disappeared, Initial consultation The patient is a 61-year-old man, who had a fever without any cause at about 7:00 p.m. one night before the consultation, accompanied by chills, chills and other symptoms, and the highest self-measured temperature was 38.0℃, accompanied by coughing, coughing up sputum, headache and dizziness, as well as nausea and vomiting, and vomit was gastric contents and other uncomfortable symptoms, and he was treated at home with Qingkailing Granules and Vicodin and Yinqiao Tablets, but the effect of which was not obvious, and the uncomfortable symptoms did not ease, and he came to our clinic today in order to seek further treatment. Today, he came to our hospital for further treatment. Outpatient lung auscultation revealed the presence of rales in the lungs; routine blood tests showed elevated white blood cell count and neutrophil count; chest X-ray showed no abnormality. The patient was admitted to the hospital with bronchitis and fever after completing the new coronavirus nucleic acid test. After the patient was admitted to the hospital, we communicated with the patient and his family about the patient’s condition and explained the cause of the patient’s illness, i.e., according to the patient’s current symptoms and examination results, the patient’s illness was considered to be due to acute bronchitis, and according to respiratory disease antibody examination, the influenza virus was detected, which made it clear that the cause of the illness was a viral infection. After discussion with the patient’s family, it was decided to give medication, including oral acetaminophen tablets to relieve fever; use of oral solution of ambroxol hydrochloride to promote sputum discharge. The patient was also given supportive therapy with intravenous glucose sodium chloride injection to prevent dehydration. And continuously monitor the patient’s body temperature, respiration and other signs, and at the same time do a good job of keeping the patient warm, so as not to aggravate the condition. After 5 days of hospitalization, the patient’s condition improved, body temperature was normal, no fever, chills, chills and other symptoms disappeared, and headache, dizziness, nausea, vomiting before admission also improved, but still occasional coughing, coughing sputum. The patient was discharged from the hospital after a second antibody test for respiratory diseases, which did not detect influenza virus, suggesting that the condition was under control. 1 week later, the patient’s outpatient follow-up, the patient’s uncomfortable symptoms had completely disappeared. After hospitalization, the patient’s temperature returned to normal and her symptoms improved, so she was very happy, and I was also happy for her gradual recovery. At the same time, I also remind the patient to pay attention to rest before complete recovery, especially when he is older, he should ensure enough sleep and not overwork; in addition, he should pay attention to drinking more water during the recovery stage of bronchitis, which can not only replenish the body’s water, but also help to alleviate the irritation of the mucous membranes; in addition, the patient’s family members can prepare some nutritious diets for the patient, such as In addition, the patient’s family can prepare some nutritious diet for the patient, such as fish, shrimp, eggs, milk, etc., as well as fresh fruits and vegetables, which will also help the patient’s physical recovery to a certain extent. Fifth, personal perception of bronchitis patients due to viruses, bacteria, chlamydia pneumonia, mycoplasma and other infections caused by the most common is the case of patients infected with influenza virus. Elderly patients often suffer from bronchitis due to poorer resistance. Therefore, when coughing, coughing up sputum, fever and other symptoms, it is not recommended that patients take medication at home, so as not to delay treatment. We should consult the doctor in time to identify the cause of the disease and then carry out symptomatic treatment, such as anti-infection, cough, phlegm and so on.