慢性支气管炎

Overview

Affecting millions of Americans each year, chronic bronchitis is a common type of 慢性阻塞性肺病(COPD) in which the air passages in the lungs — the bronchi — are repeatedly inflamed, 导致支气管壁留下疤痕. 结果是, excessive amounts of sticky mucus are produced and fill the bronchial tubes, 变稠了, 阻碍肺部的正常气流.

Cigarette smoking is the number one risk factor for developing chronic bronchitis. Over 90 percent of patients with chronic bronchitis have a smoking history, although only 15 percent of all cigarette smokers are ultimately diagnosed with some type of COPD, 比如慢性支气管炎.

我们治疗慢性支气管炎的方法

UCSF offers comprehensive evaluations and care for all types of COPD. 治疗慢性支气管炎时, 我们的目标是缓解症状, 减缓疾病进展，预防并发症.

治疗方案包括药物治疗, 补充氧气和, 对一些病人来说, 切除受损肺的一小部分的外科手术. 加州大学旧金山分校还提供肺部康复治疗, a multifaceted program that provides nutrition and exercise counseling, help in quitting smoking and education on how to stay as healthy as possible.

除了照顾病人, we lead research to improve the understanding and treatment of COPD. Interested patients may have the option to receive experimental treatments by participating in a clinical trial.

奖 & 识别

是全国顶尖的十大赌博平台排行榜之一
No. 肺病学全国排名第八 & 肺部手术
被评为慢性阻塞性肺病高绩效十大赌博平台排行榜

迹象 & 症状

People with chronic bronchitis develop a persistent mucus-producing cough that is present most days of the month, 或者连续两年一年中的三个月. Other 症状 include frequent clearing of the throat and shortness of breath.

诊断

慢性支气管炎的诊断, your doctor will begin by conducting a thorough physical examination, recording your medical history and asking about any 症状 you are experiencing.

The following 测试s may then be conducted to make a definite diagnosis:

肺功能检查(PFT). 这测试 involves a series of breathing maneuvers that measure the airflow and volume of air in your lungs. 这 allows your doctor to objectively assess the function of your lungs.
高分辨率计算机断层扫描(HRCT). 这是一种特殊的 CT扫描 that provides your doctor with high-resolution images of your lungs. Having a HRCT is no different than having a regular CT扫描; they both are performed on an open-air table and take only a few minutes.
胸部x光片. 胸部x光检查 can help confirm a diagnosis of chronic bronchitis and rule out other lung conditions.
痰液检查. Analysis of cells in your sputum can help determine the cause of some lung problems.

治疗

The goal of therapy for chronic bronchitis is to relieve 症状, prevent complications and slow the progression of the disease. Quitting smoking is also essential for patients with chronic bronchitis, since continuing to use tobacco will only further damage the lungs. 我们的烟草教育中心提供类 as well as individual consultations with doctors trained in treating tobacco addiction. We help smokers maximize the likelihood of success in their efforts to quit.

治疗包括:

支气管扩张剂治疗. 喷雾吸入或口服, bronchodilator medications may help to relieve 症状 of chronic bronchitis by relaxing and opening the air passages in the lungs.
类固醇. Inhaled as an aerosol spray, steroids can help relieve 症状 of chronic bronchitis. 随着时间的推移, 然而, 吸入类固醇会产生副作用, 比如骨骼变弱, 高血压, 糖尿病和白内障. It is important to discuss these side effects with your doctor before using steroids.
抗生素. 抗生素 may be used to help fight respiratory infections common in people with chronic bronchitis.
疫苗. 病人 with chronic bronchitis should receive a flu shot annually and pneumonia shot every five to seven years to prevent infections.
氧气疗法. 随着病人病情的发展, they may find it increasingly difficult to breathe on their own and may require supplemental oxygen. Oxygen comes in various forms and may be delivered with different devices, 包括那些你可以在家里使用的.
手术. 肺减容手术, during which small wedges of damaged lung tissue are removed, may be recommended 对一些病人来说 with chronic bronchitis.
肺康复. An important part of chronic bronchitis treatment is pulmonary rehabilitation, 包括教育, 营养咨询, 学习特殊的呼吸技巧, help with quitting smoking and starting an exercise regimen. Because people with chronic bronchitis are often physically limited, 他们可能会避免任何形式的体育活动. However, regular physical activity can actually improve a patient's health and wellbeing.

加州大学旧金山分校健康 medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.