本人在過去十年有過四次肺炎發病記錄，每次都在感冒咳嗽兩三周後胸口劇痛，其中三次都沒有被X光胸透顯示感染。今天春天又一次胸痛肺炎後去看了胸科專家，做了no contrast CT。專家診斷慢性細支氣管炎，CT的結論如下：
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).
我體質較弱，很容易感冒，以前感冒咳嗽盡量不用抗生素，可能造成拖延導致炎症惡化。現在每周鍛煉身體2-3次，每天服用黃芪粉，專家預先配給我抗生素，如果感冒季節咳嗽不好就上抗生素以免發展成肺炎。請教這裏的朋友以後我怎樣保養自己，以免再次發生類似肺炎的發病，有什麽好的建議對付慢性細支氣管炎，中醫湯藥針灸都可以接受。如果老發肺炎，會不會引起不良的肺部後果，如肺癌什麽的。先謝謝各位提供寶貴信息。
