How to treat repeated hemoptysis caused by bronchiectasis

summary

In recent years, the extensive use of new antibiotics, part of the stable bronchiectasis, so that some patients do not need to do surgery. But does this mean that the patient is healthy and has completely eradicated bronchiectasis? Let's take a look at the following situations, and let's take a personal reassessment according to our own situation.

How to treat repeated hemoptysis caused by bronchiectasis

First: whether there is a history of hemoptysis should be considered, some of the so-called "dry bronchiectasis", usually do not have many symptoms of pulmonary infection, but may suddenly hemoptysis. Bronchiectasis is a benign disease. Today, with a variety of antibiotics, most of the infections can be controlled and can survive for many years. However, massive hemoptysis is life-threatening. Although bronchial artery embolization is urgently needed now, it is the best surgical treatment for massive hemoptysis or repeated hemoptysis in the long run.

Second: whether there are symptoms, severity of symptoms, history of repeated pulmonary infection, frequency of attacks and treatment effect. If the symptoms are mild and the infection is easy to control, medical treatment can be used, otherwise surgery should be considered.

Third: the scope of the lesion. This is one of the most important factors determining the treatment of internal and external medicine. If the lesion is limited, it can be resected. If the lesion is wide, but some parts are light, some are heavy, and the symptoms are very obvious, it can be resected to obtain palliative effect. However, if there are lesions on both sides and there is not much correlation between the severity, the operation can not be considered.

matters needing attention

Age analysis of some cases shows that after 40 years old, the patient's condition can often be alleviated, and the progress is not much. However, most patients over 50 years old have poor physical strength, have other diseases, and suffer from poor operation. Therefore, the operation of patients over 40-50 years old should be conservative.