结核病与肺部健康杂志 ›› 2013, Vol. 2 ›› Issue (2): 79-82.

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成人支气管扩张症诊治专家共识解读

马艳良   

  1. 100044 北京大学人民医院呼吸与危重症医学科
  • 收稿日期:2013-04-25 出版日期:2013-06-30 发布日期:2013-06-30
  • 通信作者: 马艳良,Email:helloyl1979@126.com

Interpretation of expert consensus on diagnosis and treatment of adult bronchiectasis

MA Yan-liang   

  1. Department of Respiratory and Critical Care Medicine,Peking University People’s Hospital,Beijing 100044,China
  • Received:2013-04-25 Online:2013-06-30 Published:2013-06-30
  • Contact: MA Yan-liang,Email,helloyl1979@126.com

摘要: 支气管扩张症是常见的慢性呼吸系统疾病,2012年《成人支气管扩张症诊治专家共识》对支气管扩张症的诊断及治疗提出了较为详细的建议,治疗上强调了排痰、抗炎、扩张支气管、康复治疗等长期治疗的重要性,规范了抗菌药物治疗规范,并强调应提高对支气管扩张患者气道定植菌及耐药状况监测意识,重视患者痰细菌培养结果,采用抗菌药物轮换策略预防和改善细菌耐药。

Abstract: Bronchiectasis is a common chronic respiratory disease. The expert consensus on diagnosis and treatment of adult bronchiectasis published in 2012 provides detailed guidelines on diagnosis,investigation and parti-cularly treatment of bronchiectasis. Long-term treatment such as airway clearance techniques,use of anti-inflammation medications and bronchodilators and rehabilitation are emphasized. Antibiotic therapy should be standardized with regular airway bacterial colonization and antimicrobial resistance monitoring. Policies for rotational use of antibiotics should be implemented to prevent and improve antibiotic resistance.