What are the complications and harms of chronic bronchitis? How to treat chronic bronchitis

Chronic bronchitis is a long-term accumulation of diseases, and the multiple populations are middle-aged and elderly people, which will have a great impact on the life and work of patients. Chronic bronchitis can cause a variety of complications and complicate the condition. So what are the complications of chronic bronchitis, and how to treat it? Then let the experts of Jinan Asthma Hospital introduce to us.

What are the complications and harms of chronic bronchitis? How to treat chronic bronchitis

Chronic bronchitis complications

1.Tuberculosis

Tuberculosis is often accompanied by symptoms such as low fever, fatigue, night sweats, and hemoptysis; the degree of cough and sputum is related to the activity of tuberculosis. X-ray examination can find lung lesions, sputum tuberculosis test positive, senile pulmonary tuberculosis toxicity symptoms are not obvious, often due to the cover of chronic bronchitis symptoms, long-term undiscovered, should pay special attention.

2. Bronchial asthma

The onset age is mild, often with a history of individual or family allergic disease; tracheal and bronchial responsiveness to various stimuli, manifested as extensive bronchospasm and stenosis, clinically have paroxysmal dyspnea and cough, onset Short or continuous. Chest percussion has been unvoiced, and auscultation has a wheezing sound with prolonged exhalation and high pitch. Chronic bronchitis often occurs in the late stage. Eosinophils are more common in patients with bronchial asthma, while those in patients with asthmatic bronchitis are fewer.


3. Bronchial dilation

Occurred in children or adolescents, often secondary to measles, pneumonia or whooping cough, repeated recurrent seizures and hemoptysis. Wet rales can be heard in the lower part of both lungs. Chest X-ray examination showed deeper bronchial shadows in the lower part of the lungs. Bronchial angiography shows columnar or cystic bronchiectasis.

4. Heart disease

Cough caused by lung stagnation, often dry cough, not much. Detailed medical history can be found in heart palpitations, shortness of breath, lower extremity edema and other signs of heart disease. Signs, X-rays, and electrocardiograms are helpful for identification.

5. Lung cancer

Most occur in men over the age of 40, long-term smokers, often with blood in the sputum, irritating cough. Chest X-ray examination of the lungs with block shadows or obstructive pneumonia.痰 exfoliated cells or fiberoptic bronchoscopy can confirm the diagnosis.

6. Patients with advanced stage may have emphysema and pulmonary hypertension.

Chronic bronchitis

1. Bronchitis will reduce lung function

Bronchitis Once an acute attack begins, the glands in the bronchi produce more mucus than usual. When the body wants to remove the mucus from the lungs, it can cause coughing and lower the patient's lung function. At the same time, the course of bronchitis is accelerated.

2. Bronchitis affects the quality of life of patients

Long-term cough of bronchitis causes the body to be in a state of hypoxia for a long time, which affects the patient's diet, sleep, etc., leading to a decline in the quality of life and quality of life of patients.

3. Bronchitis prolonged and can be associated with life

Bronchitis is mainly characterized by repeated, long-term cough and cough. There is a serious episode in the winter and spring, and there is an acute infection. Once every episode, the condition is severe once, which makes the disease prolonged and even lasted for a lifetime.

4. Bronchitis can develop into pulmonary heart disease

The continuous development of bronchitis has become the root cause of many diseases. In the case of respiratory diseases, it can develop into chronic obstructive pulmonary disease, emphysema, and finally may develop into pulmonary heart disease.

Chronic bronchitis treatment

1. Treatment of acute exacerbation

• Control of infection Antibiotics can be treated with quinolones, macrocyclic esters, and β-lactams orally, and intravenously when the condition is severe. Such as levofloxacin, azithromycin, if the pathogenic bacteria can be cultured, antibacterial drugs can be selected according to the drug sensitivity test.
• Antitussive and expectorant can be used in combination with compound licorice mixture. It can also be added with peopic bromine, ambroxol hydrochloride, myrtle oil, and antitussive drugs such as dextromethorphan.
• Asthma and asthma can be added with antispasmodic antiasthmatic drugs, such as aminophylline, or with theophylline controlled release, or long-acting β2 agonist plus glucocorticoid inhalation.

2. Remission treatment

• Quit smoking to avoid the inhalation of harmful gases and other harmful particles.
• Enhancing physical fitness and preventing colds is also one of the main contents of prevention and treatment of chronic bronchitis.

Tips: Chronic bronchitis is a disease that requires long-term treatment to control the disease. Therefore, patients should be prepared for long-term treatment during treatment. Do not have negative emotions such as irritability due to long time. Be treated with a positive attitude. In addition, if there are new situations, it is necessary to communicate with the doctor in time to facilitate the doctor to determine the treatment plan according to the condition.