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Treatment of chronic bronchitis

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Updated: Friday, Apr 18,2014, 10:01:07 PM
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1 , treatment of acute exacerbation of their principle is to control the infection , expectorant asthma based.

( 1 ) anti-infective drugs : results of bacterial culture of sputum according to antibiotic sensitivity tests to select anti-infective drugs , the failure to determine the pathogen may take empirical treatment . Patients with mild to oral or intramuscular injection . Choice of intramuscular penicillin G 80 000 U , 2 to 3 times / d; sulfamethoxazole / trimethoprim , every 2 , 2 times / d; amoxicillin, ampicillin or cephalexin 2 ~ 4g / d, 3 to 4 times a day orally ; cefradine 1 ~ 2g / d, orally 4 times ; or ciprofloxacin 0.25 g, 3 times / d; ofloxacin or levofloxacin .2 g, 2 times / d orally. In severe cases, intravenous route should be used , the choice of penicillin G 400 million to 6 million U / d, ampicillin 6 ~ 8g / d, ciprofloxacin, ofloxacin , or amikacin 0.4g / d, cefradine , cefazolin 4g / d or cefuroxime 2.25g / d, intravenous infusion after dilution points . Treatment depending on the severity of anti-infective drugs , are generally 1 to 2 weeks.

( 2 ) bronchodilator : Common Ownership anticholinergic drugs, such as ipratropium bromide , each 40 ~ 80mu; g; beta; receptor agonists , such as salbutamol or terbutaline , each 100 ~ 200mu; g, through a metered dose inhaler (MDI), 3 ~ 4 times / d inhalation ; or terbutaline every 2.5mg, or procaterol each 25mu; g, 2 times / d ; theophylline drugs, such as theophylline , each 0.1g, 3 times / d orally, or theophylline GITS Bao Yue Hui, each 400mg, 1 times / d orally, or theophylline Therophylline each 0.1g, 2 times / d orally. In severe cases, can be used aminophylline diluted intravenous infusion every 0.25g , 2 times / d, also with ipratropium bromide or albuterol inhalation solution through a nebulizer treatment .

( 3 ) expectorant agent: Common Ownership ambroxol , 30mg, 3 times / d, carbocisteine ​​, 500mg, 3 times / d, bromhexine l6mg, 3 times / d orally. If sticky sputum difficult to expectorate who used saline or 2% sodium bicarbonate or N-acetylcysteine ​​inhalation via nebulizer . Wet airway favorable expectoration.

2 , remission treatment principle is to enhance health and improve disease resistance and relapse prevention oriented. Bronchitis vaccine can be used , once weekly subcutaneous dose of 0.1 ml from the start , each increment 0.1 ~ 0.2ml, up to 0.5 ~ 1.0ml to maintain volume . Usually begin before the onset of the injection season , if the effect stick with 1 to 2 years. BCG-PSN , intramuscular injection once every other day , every 1ml ( containing 0.5mg), injected 18 times as a course of treatment, once every 3 courses , can reduce colds and acute exacerbation of chronic bronchitis . Also injected human gamma globulin , each 5ml, once every two to four weeks , before the onset of the season medication. Klebsiella pneumoniae glycoprotein extracted oral therapy for the first time eight days , 2mg / d, stop taking three weeks ; second treatment eight days , 1mg / d, stop taking three weeks ; 3rd treatment eight days , 1mg / d, as a course of treatment ; or by Streptococcus pneumoniae, Klebsiella, Haemophilus influenzae eight kinds of respiratory tract infection pathogens in freeze-dried extract, daily oral administration of a fasting times 7 mg, even a month for 10 days , stopped 20 days , three consecutive months of a course of treatment, can improve the immune system to reduce respiratory infections. Others such as Mannatide , casein injection, etc. may choose .

Strengthening exercises to enhance physical fitness, improve immune function, Qigong is also a certain effect, enhance personal hygiene , avoid contact with a variety of predisposing factors and inhalation . Cold and exercise can prevent colds.

Tags: Chronic-bronchitis

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