Small prescriptions for bronchiectasis often have no medical basis and are not recommended to be believed blindly. Treatment of bronchiectasis includes control of infection, improvement of airflow limitation, removal of airway secretions and treatment of hemoptysis.
1. Infection control: when patients with bronchiectasis have increased sputum, and most of the sputum is purulent, it often indicates an acute infection. Antibacterial drugs used in the treatment of bronchiectasis mainly include ceftriaxone, levofloxacin, and so on.
2. Improve airflow limitation: due to more secretions in the airway of bronchiectasis, sputum accumulation, easy to airway obstruction, you can use bronchodilators, such as salbutamol, ipratropium bromide, etc. These drugs not only improve lung function, but also conducive to the discharge of sputum.
3. Clear airway secretion: bronchiectasis patients with airway clearance obstacles, easy to make pathogenic microorganisms colonization, increase the probability of infection, for this kind of patients to clear the secretion is very important, including physical expectoration and sputum chemotherapy drugs, physical expectoration of sputum is mainly postural drainage, but also can be nebulized inhalation of physiological saline. The main sputum chemotherapeutic drugs are N-acetyl cysteine.
4. Treatment of hemoptysis: about 50-70% of patients with bronchiectasis will have hemoptysis, mainly because of the erosion of small arteries or vascular destruction, small hemoptysis can take carbachol, and moderate bleeding can be IV phentolamine. If the amount of coughing blood is relatively large, need to consider surgical treatment.
Bronchial dilatation should be timely medical treatment, avoid blindly believe in the prescription, so as not to delay the condition. The above drugs should be used under the supervision of a physician.