Bronchial dilation hemoptysis

How to treat bronchiectasis hemoptysis? Bronchiectasis is a common respiratory damage disease. One of the most common symptoms is cough and hemoptysis. Bronchiectasis and hemoptysis can cause great harm to patients' health. To take corrective measures, then bronchiectasis hemoptysis How to treat it?

Bronchial dilation hemoptysis

If we can judge bronchiectasis in time at an early stage, we can effectively prevent the disease from happening and kill the disease in the bud. What are the symptoms of bronchiectasis?

1. The early bronchial lesions are light, the range is small, and there are no obvious signs. When the lesions are obvious, the persistent wet rales can be heard in the lesions, and the rales can be temporarily disappeared after the sputum. About one-third of people with chronic illness can have clubbing (toe).


2. Repeated hemoptysis: repeated hemoptysis is the characteristic of this disease, accounting for 50~75%, and the amount of hemoptysis varies. It can be bloody to massive hemoptysis in sputum, often due to rupture of small bronchial artery with high pressure. Can be suddenly squirted, the amount of bleeding can reach hundreds or even thousands of milliliters, blood pressure decreased and contracted after hemorrhage, bleeding can automatically stop

3. Fever: Repeated infections in patients can cause symptoms of systemic poisoning. In the early stage, there is no fever. When the secretions are not smooth and the inflammation spreads, causing pneumonia, lung abscess, pleurisy or empyema, the patient can have high fever.

4. Chronic cough and cough a large amount of purulent sputum: About 50 to 90% of patients have typical cough and sputum purulent sputum. In the early stage, it can be completely asymptomatic. As the disease progresses further and the infection is combined, the cough is aggravated and the amount of sputum is increased. It can reach 100~400ml per day, which is yellow-green. After sputum is placed for several hours, it can be divided into three layers. It is a foamy sputum, the middle layer is turbid mucus, and the bottom layer is purulent necrotic tissue.

5. Other symptoms: As the condition worsens, the patient has loss of appetite and weight loss. Children can cause growth and malnutrition, and a small number of patients may have secondary amyloidosis.

6. Expert introduction: The main clinical manifestations of bronchiectasis are chronic cough, accompanied by massive purulent sputum and repeated intermittent hemoptysis. After the sputum is still, it is usually divided into three layers, that is, the upper layer is foam, the middle layer is slurry or mucus, and the lower layer is pus and necrotic substance. The principle of treatment is mainly to control repeated infection of the respiratory tract, promote the drainage of sputum and the use of effective antibacterial drugs. According to the condition, give oxygen reasonably. Position drainage: According to the lesions of different parts for body position drainage, the drainage time is 15min each time, encouraging patients to cough. Give the mouth after the drainage is completed. Drainage should be carried out before meals and should be assisted in taking the back.

7. Remove sputum, keep the airway open, help the sputum to guide the patient to sit up when coughing, lean forward, try to get rid of it. When the sputum is thick, drink plenty of water, or use steam to inhale, or follow the doctor's advice to give sputum drugs, and regularly turn over the patient, shoot back, and promote sputum discharge. Accompany the patient, explain the condition, and eliminate tension. If necessary, follow the doctor's advice to sedatives. Rest and diet 嘱 patients in bed rest, give a nutrient-rich, high-vitamins light or semi-liquid diet, eat more fruits and vegetables, avoid eating food that may induce asthma. Dietary care encourages patients to enter high-vitamin foods.