Treatment of symptoms of bronchiectasis

summary

Bronchiectasis is a chronic disease of the bronchus, which is caused by chronic inflammation and airway obstruction of the bronchus and its surrounding tissues, resulting in severe pathological destruction of the bronchial tissue structure, resulting in dilation and deformation of the lumen. Understanding the symptoms of bronchiectasis can effectively cure the disease. Treat the symptoms of bronchiectasis? Let's talk about it

Treatment of symptoms of bronchiectasis

Expectorant drugs, as well as chest physical therapy such as vibration, back slap and postural drainage are helpful to remove airway secretions. In order to improve the clearance of secretion, we should emphasize the position drainage and atomization inhalation of recombinant deoxyribonuclease, which can reduce the viscosity of sputum by blocking the release of DNA from neutrophils.

Antibiotics should be used when there are signs of acute infection such as increased sputum volume and purulent components. The use of antibiotics can be guided by sputum Gram staining and sputum culture, but experience treatment (such as ampicillin, amoxicillin or cefaclor) is often given at the beginning. Amoxicillin and clavulanate potassium can be used to treat Pseudomonas aeruginosa infection. For patients with chronic expectoration, in addition to the use of short-term antibiotics, but also consider the use of a longer course of treatment, small doses of macrolide antibiotics.

If bronchiectasis is limited, and still intractable after adequate medical treatment, surgical treatment can be considered to remove the diseased lung tissue. If the massive hemorrhage comes from hyperplastic bronchial artery, and can not be relieved by rest and antibiotic conservative treatment, surgical operation can be considered if the lesion is limited, otherwise bronchial artery embolization can be used. For those patients who are disabled despite all the treatments, lung transplantation may be considered if appropriate.

matters needing attention

Prevention and treatment of acute and chronic respiratory tract infections such as measles, pertussis, bronchopneumonia and tuberculosis is of great significance for the prevention of bronchiectasis. Bronchiectasis patients should actively prevent respiratory tract infection, adhere to the body position expectoration, enhance the body's immune function to improve the body's disease resistance.