Localized bronchiectasis in the middle lobe of the right lung needs to be treated according to the severity of the disease, including general treatment, medication, surgery and so on.
Patients with bronchiectasis have chronic cough, sputum and even recurrent hemoptysis as the main clinical manifestations, and high-resolution CT of the chest shows that the dilated bronchial tubes present the “double-track sign” or “bead-like” changes.
Bronchiectasis should be treated actively to treat the primary disease, control the infection, improve the respiratory function, and treat the complications such as hemoptysis, and the treatment methods include:
1. General treatment: postural drainage to promote sputum expectoration, sputum aspirator suction if necessary; also can use saline or hypertonic saline nebulization, improve cough symptoms, give oxygen to relieve wheezing, dyspnea and so on.
2. Drug therapy: when there is a clear indication of bacterial infection, use antibiotics to control the infection, such as ceftriaxone and azithromycin; bronchodilators, such as terbutaline, to relieve the spasm; cough and phlegm medicines, such as aminoglutethimide hydrochloride, which can dilute the sputum and promote the expectoration of sputum. Patients with airway hyperreactivity can use inhaled glucocorticosteroids, such as budesonide inhaler, as appropriate; when coughing up blood, take antiemetic drugs, such as posterior pituitary gland hormone, etc. for treatment.
3. Surgical treatment, the effect of internal medicine treatment is poor, recurrent episodes of patients, can consider surgical treatment, resection of diseased lung tissue.
In conclusion, in the case of localized bronchiectasis in the middle lobe of the right lung, it is recommended to go to the respiratory medicine department of a regular hospital as soon as possible to avoid progressive exacerbation of the condition which may affect the respiratory function. The above medications should be used under the guidance of a physician.