's treatment of healing solution of the elderly's bronchiectasis

's treatment of healing solution of the elderly's bronchiectasis
The therapeutic principle of bronchiectasis is:Remove the cause of disease, promote the phlegm liquid to discharge, control and infect, perform the operation if necessary and excise.
1.Keep the respiratory tract unobstructed Body posture guide can get rid of, accumulate phlegm, reduce, continue, take place, infect, lighten and is poisoned symptom all over. Phlegm many to guide smooth patient to suppuration, its function is not second to employing antibiotic sometimes. Pharmaceutical and bronchiectasis pharmaceutical are diluted the phlegm liquid to remove the phlegm liquid by reduce and continues and takes place to infect and lighten and is poisoned symptom all overing by the drainage of body posture again through eliminating the phlegm.
(1)Eliminate the phlegm pharmaceutical:Such as chlorine ammonium 0.3- 0.6g, bromine own new 8- 16mg, 3 times d, take orally. Protease 5mg of gruel or ultrasonic atomization of physiological saline is sucked. Make the phlegm liquid thin, do benefit to discharging. Some patients increase because of the bronchus reactivity or inflammation is stimulated, can present the bronchus and shrink convulsion, influence the phlegm liquid to discharge. So can take theophylline preparations, can add and use 2 receptor excited medicines of bronchus relaxation medicine such as if necessary.
(2)Guide in the body posture: Adopt different body postures according to the sick position, should fetch the high-order posture of sick bronchus, make it open one's mouth downwards not to guide the bronchus, in order to facilitate the phlegm liquid flowing out. 2- 3 times d, about 15min each time. If the body posture is still difficult to discharge to guide, can employ the fibrous bronchus mirror to suck the phlegm, and aspiration, drip in the mucous membrane of bronchus by 1 if necessary after washing and diluting the phlegm liquid with the physiological saline: 1000 Epinephrine, dispel edema, in order to lighten and block, facilitate the phlegm liquid discharging. Can also the part is dripped into antibiotic.
2.Control and infect Bronchiectasis acute to infect treating the measure mainly and should select antibiotic for use on the basis that physical sign phlegm liquid color of symptom and bacterium train the result of one, determine antibiotic consumption according to the weight of condition, and need jointly using medicine, should pay attention to the infection of fungi and anaerobe at the same time.
Light disease can be selected for use for the oral not west forest 0.5g of A, or hydroxy ammonia benzyl 0.5g of very beginning spore, 4 times d; The intersection of Fluorine and the intersection of promise and ketone medicine like left the intersection of oxygen and the intersection of Fluorine and 0.2g, star of sand, 3 times d Kui. Serious the intersection of disease and patient need vein use medicine jointly often, penicillin clan and the third generation of the intersection of very beginning and the intersection of spore and fungus can have cooperative effect with the intersection of amino sugar and glucoside respectively while being plain.
If there is anaerobe that is infected, can add and use first nitre thiazole or take the place of nitre thiazole. Can part employ antibiotic also, atomization suck in the liquid adding antibiotic for instance, or drip in the focus part into antibiotic through the fibrous bronchus mirror.
3.Surgery treatment It is repeated airway infection or it is great for hemoptysis patient,until pathological change range last one leaf or on one side of there organize is lung, can't be controlled by drug therapy, the whole body state is good, it is not complete that there is no important internal organs function, can do lobe of the lung or lung section and excise the skill according to the pathological change range.
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