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Abstract: Chronic bronchitis is a common type of bronchitis, characterized by a long duration and recurrent onset. Today, 70-year-old Master Wang was admitted to the hospital with a two-day cough with shortness of breath and panic. He complained of a history of chronic bronchitis and was diagnosed with this disease after routine blood tests, lung X-ray and sputum culture tests, and his symptoms improved and his condition was stable after drug treatment in our hospital.
Basic information】Male, 70 years old
Disease Type】Bronchitis (chronic bronchitis)
Hospital】The First Hospital of China Medical University
Date of consultation】February 2021
Treatment plan] Oral medication (dextromethorphan hydrobromide tablets, amoxicillin capsules) + nebulized inhalation (fluticasone propionate inhalation aerosol, salbutamol sulfate solution for inhalation)
Treatment period】Long-term medication, monthly review
Effect of treatment】Cough, shortness of breath, palpitations disappeared, and the results of various tests indicated stable condition.
I. Initial consultation
The 70-year-old Mr. Wang had a cough for the past 2 days and experienced unexplained shortness of breath and palpitations, as well as poor activity tolerance and no other physical discomfort. Pulmonary X-ray examination revealed thickened lung texture and speckled shadows, so it was clear that this attack was chronic bronchitis. According to the results of sputum culture, the presence of pathogenic bacteria in the sputum was found, and the patient was admitted to the respiratory medicine department of our hospital for further treatment.
II. Treatment process
After the diagnosis result came out, after communicating with Master Wang about the treatment plan and with his permission, dextromethorphan hydrobromide tablets were used to suppress the cough symptoms. Considering that Master Wang’s panic manifestation was related to insufficient inhalation of oxygen due to bronchospasm during bronchitis attack, salbutamol sulfate solution for inhalation was given to promote bronchodilation, which could increase ventilation and oxygen supply to the heart, thus improving the panic. Due to the increase of pathogenic bacteria in the sputum, anti-infective treatment with amoxicillin capsules and anti-inflammatory treatment with fluticasone propionate inhalation aerosol, a glucocorticoid, are used to inhibit the multiplication and proliferation of pathogenic bacteria. After the medication, the patient returned to the hospital for review after every 1 month to observe the changes of the disease.
III. Treatment effect
After 1 month of medication, Master Wang came to our hospital for review, complaining that the symptoms of panic and cough disappeared, and the sputum culture was found to have fewer pathogenic microorganisms in the sputum, while the routine blood test revealed that the level of white blood cells returned to normal, and then the chest X-ray revealed that the lung texture changes were reduced, and the inflammation was reduced. If there is discomfort promptly seek medical attention.
The first time I saw him, I was able to see him.
I am glad that the condition of Master Wang is stable after treatment, but after discharge from the hospital, we still need to pay attention to strengthen the management of life. Avoid places with high concentrations of dust, smoke, pollen and other allergens to avoid triggering the disease, and wear a mask if necessary. If any respiratory discomfort such as wheezing, coughing, coughing and other manifestations occur during the home medication period, it is recommended to return to the hospital as soon as possible and adjust the medication regimen. Pay attention to vitamin-rich, high-quality protein foods such as beef, eggs, milk, etc., which can help strengthen the body. After the disease is stabilized, you can communicate with others appropriately to help ease the mood and reduce the worry and fear of another attack.
V. Personal insight
Wang’s acute attack of chronic bronchitis is mainly related to infection, so he should pay attention to keeping warm in his future life and exercise diligently, which can enhance his health and prevent re-infection leading to aggravation of inflammation. For chronic bronchitis, it is usually more difficult to eradicate, and when the bronchial tubes are stimulated it is likely to recur, so medication is only to reduce the symptoms, improve the quality of life, and consciously take good personal care is the key to reduce the impact of the disease. If the lack of attention to personal care leads to recurrent attacks of the disease, then the ability to repair the bronchial tubes may be affected.