1, sputum removal Sputum removal is very important, but need a scientific method, I have seen very strange method of sputum removal, smoking, the patient himself said that smoking can stimulate coughing, so as to achieve the purpose of coughing sputum, which is clearly an excuse for not wanting to quit smoking? How about science? For chronic coughing sputum and CT manifestation of mucus obstruction (1) For postural drainage, the CT examination of the chest is performed first, and the doctor instructs which is the healthy side of the lung and which is the affected side, and chooses the posture. The principle is very easy, the secretion is drained by gravity from the distal airway to the central airway, and it is removed by coughing or mechanical principle. One should note that postural drainage needs to be done before or within 1-2h after a meal to avoid gastroesophageal reflux. It is important to note that inability to tolerate sputum drainage position, inability to cough up sputum, anticoagulation therapy, thoracic
or crestal fracture, recent hemoptysis and severe osteoporosis should not use this method. (2) Vibratory tapping (doctor’s guidance is required, otherwise too much force may fracture and too little force is useless). In addition, there are other techniques to expel phlegm, such as airway humidification (simply put, it is to make phlegm thinner, then it is certainly easy to expel). The time will be controlled to 1-2 times a day, and 20 minutes each time is enough. 2, antibacterial drug treatment If there is an acute aggravation of the condition, do not think too much, hurry to seek medical attention, ah, basically this will need to apply antibiotics, need the guidance of a doctor. 3, hemoptysis Many patients with bronchiectasis are combined with hemoptysis, more than 500ml in 24 hours or more than 200ml at a time is called hemoptysis, there is a risk of asphyxiation, so hurry to seek medical treatment in hospital. Treatment includes medication, interventional treatment, and surgical treatment. 4.Non-antibacterial drug treatment The most important is mucolytic agents, such as bromhexine and acetylcysteine. 5.Vaccination Pneumococcal vaccine once in 5 years and influenza vaccine once a year will help to reduce infection.