本人在过去十年有过四次肺炎发病记录,每次都在感冒咳嗽两三周后胸口剧痛,其中三次都没有被X光胸透显示感染。今天春天又一次胸痛肺炎后去看了胸科专家,做了no contrast CT。专家诊断慢性细支气管炎,CT的结论如下:
History: Chest pain; intercostal pain; multiple episodes of prior pneumonia
Impression:
- Tree-in-bud and centrilobular nodularity scattered throughout the right lung, most evident in the periphery of the right middle lobe and the superior aspect of the right lower lobe, concerning for small airways infection/bronchiolitis:
Findings:
The central airways are patent with no endobronchial mass. There is subtle tree-in-bud and centrilobular nodularity identified in the posterior aspect of the right upper lobe, the lateral aspect of the right lower lobe (series 4, slice 61), and the
lateral aspect of the right middle lobe (4/83). There is no other large area of focal consolidation or groundglass. There is minimal mucous plugging in the left upper lobe (4/54).
我体质较弱,很容易感冒,以前感冒咳嗽尽量不用抗生素,可能造成拖延导致炎症恶化。现在每周锻炼身体2-3次,每天服用黄芪粉,专家预先配给我抗生素,如果感冒季节咳嗽不好就上抗生素以免发展成肺炎。请教这里的朋友以后我怎样保养自己,以免再次发生类似肺炎的发病,有什么好的建议对付慢性细支气管炎,中医汤药针灸都可以接受。如果老发肺炎,会不会引起不良的肺部后果,如肺癌什么的。先谢谢各位提供宝贵信息。