when mucus secretion is in larger bronchi, it may have coarse dry rales, which disappear after coughing. When water-like secretions accumulate in bronchioles, moist rales are heard in the lungs.
X-ray chest film is normal or only lung texture is deepened. The number of blood lymphocytes in virus-infected patients can increase, and the total number of white blood cells and the proportion of neutrophils increase during bacterial infection.
The trachea and bronchial mucosa are congested and edematous, ciliated epithelial cells are damaged and shed, mucous glands are enlarged, secretions are increased, and lymphocytes and neutrophils are infiltrated. After the inflammation subsides, the structure and function of trachea and bronchial mucosa can return to normal. First, antibacterial drug treatment < P > According to the pathogen of infection and the severity of the disease, antibacterial drugs can be used for treatment. Such as penicillin, sulfanilamide preparation (SMZ－TMP), spiramycin, quinolones (ofloxacin, ciprofloxacin, etc.), cephalosporins and so on. Generally speaking, oral antibiotics are effective, and individual intravenous injections are used.
2. Symptomatic treatment
When the cough is severe and there is no phlegm, Wei Jingning can be used; when the phlegm is thick and difficult to cough up, compound ammonium chloride mixture can be used, and bromine is new, and atomization therapy can also be used to help eliminate phlegm. Traditional Chinese medicine can also relieve cough and asthma to some extent, so it can be selected.
III. Prevention and treatment
Enhance physical fitness, prevent colds, improve labor hygiene environment, prevent air pollution, do personal protection, and avoid contact with inducing factors and inhaling allergens.
chronic bronchitis
most patients with chronic bronchitis are middle-aged and elderly people. There are no obvious symptoms in the early stage of this disease, and the main symptoms in the later stage are cough, expectoration and asthma. Among them, cough is the most common. If chronic bronchitis is not cured for a long time, there may be signs of emphysema. Therefore, we must pay attention to and prevent this disease. In addition to early treatment, taking Chinese and western medicines and good care, diet therapy also has auxiliary effects. Recently, it is more popular to drink _ Fuyan tea, which is packaged independently and easy to carry, and can be drunk whether on business trip or at work.
1. The treatment of chronic bronchitis is mainly aimed at cough, phlegm and asthma. Cough and phlegm are caused by bronchial inflammation. Therefore, patients with chronic bronchitis should often take antibiotics or anti-inflammatory drugs, such as erythromycin and penicillin. Do not use a large number of them, but use them alternately. For the symptoms of asthma, the commonly used drugs at present are Aichuanle and Chuanlening.
2. In addition, anti-infection is the key point during the attack of chronic bronchitis, and at the same time, expectorant, cough and asthma should be done. Commonly used antibacterial drugs are compound sulfamethoxazole, penicillin, gentamicin and so on. The drugs for relieving phlegm, cough and asthma are Bisuping, aminophylline and Shuchuanling .1 ~ .2 mg, sprayed l ~ 2 times, and inhaled once every 4 hours.
3. Steamed persimmon with rock sugar: 3 persimmon with a small amount of rock sugar, put in a pot, steam until the persimmon is soft and eat. This has the functions of moistening lung, eliminating phlegm and preventing hemoptysis, and can be used as an adjuvant treatment for chronic bronchitis and hypertension. In addition, peel an appropriate amount of garlic and mash it, soak it in vinegar, and then add some brown sugar, which is one-fifth of garlic. After one week, take the juice, one tablespoon each time, three times a day.