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The main points of clinical identification of bronchitis

Acute bronchitis-bronchitis is acute inflammation of the bronch-bronchial mucosa caused by biological, physical, chemical stimulation or allergies. The main clinical symptoms are cough and sputum. Common in the cold season or climate mutation. It can also spread from acute upper respiratory tract infections.

The symptoms of acute upper respiratory tract infections are generally common, such as nasal congestion, runny nose, sneezing, sore throat, and hissing, etc.

Accompanied by chills, fever, headaches and whole body soreness. Cough is more irritating, with a small amount of mucus sputum, accompanied by sternum discomfort or dull pain. When the infection spread to the bronchial, the cough was worsened, and the increase in sputum after 2-3 was mucous or mucus purulent. With bronchial spasm, there may be asthma and breath. Experience the two lungs can be scattered in wet and wetness, which can be reduced or disappeared after coughing. Acute tracheal-bronchitis is generally self-limiting. Heating and systemic discomfort can disappear within 3-5 days, but cough and sputum can last for 2-3 weeks to disappear. Those who are not healed have evolved into chronic bronchitis.

an examination

1. Blood conventional white blood cell counting and classification can be normal, and secondary bacterial infection can be increased.

2. Phlegm coating or culture can detect pathogenic bacteria.

3. Most of the chest X -ray examination is mostly normal or thickened.


(1) Diagnosis points

Diagnosis mainly depends on medical history. Clinically, symptoms and signs such as cough, phlegm, and lungs are scattered, and wetness can help diagnosis.

(2) Differential diagnosis

1. Popular colds are similar to acute bronchitis-bronchitis, but the symptoms of the whole body, fever, headache, significant soreness in the whole body, reduced blood cells, can be identified according to the epidemic situation of the epidemic and the separation of the virus.

2. Measles, pertussis and other diseases often have the manifestations of acute bronchitis, which can be identified according to epidemic conditions, clinical manifestations and joy.


(1) Treatment principles

(1) Mainly rest and symptomatic treatment, antibacterial drugs should not be used routinely.

(2) If fever, purulent sputum, severe cough, can be treated with antibiotic drugs.

(2) Treatment

1. Generally treating proper rest, pay attention to keep warm, drink more water, intake enough heat, and prevent the inhalation of cold air, dust or irritating gases.

2. Medication routine

(1) Affordable vitamin C, 0.2g, 3 times a day.

(2) Those with dry cough can use 25mg of Totovirin, Right Meishafin 10mg or to be treated 3 times a day for 15-30mg.

(3) Those who have sputum with phlegm and not easy to cough, you can choose an expelive agent 8-16 mg or 30mg of amprolytic omate hydrochloride, 3 times a day. You can also choose Chinese patent cough and expectorant drugs, such as compound licorice agents, fresh bamboo pill oral liquid, etc., 3 times a day, 10ml each time.

<!-2392: Respiratory terminal page

(4) When bronchial spasm occurs, you can use asthma alkaline drugs, such as 0.1g of ammonium catexine, three times a day, 0.2g of catekine mild release tablets (Schopmei), Morne Camellia (Acema) 0.2g, twice a day.

(5) If there are fever and soreness, you can use aspirin 0.3-0.6g or 1 tablet, 3 times a day.

(6) If fever, purulent sputum, and severe cough appear, it is an index of antibiotics. Antibiotics that can be used for pneumonia coats and pneumoniacum. Most patients can take antibacterial drugs orally. Those with severe symptoms can use intramuscular injection or intravenous injection.

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