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抗菌素问世以前,手术是治疗本病的首选疗法。由于抗菌素的应用,此病的死亡率已明显降低,然而,对于病变较为广泛或有严重咳血的支气管扩张患者,仍需考虑行手术根治。抗菌疗法适用于病情恶化或支气管扩张急性加重者。至于抗菌素的选择,应根据病原菌的特性和药物能否以有效浓度进入肺组织决定。感染重者,最好取肠外途径投药。对口服和注射途径无效的支气管扩张患者,用吸入法局部给药有效。
Before the advent of antibiotics, surgery is the treatment of choice for this disease. Due to the use of antibiotics, the mortality rate has been significantly reduced, however, for patients with more extensive or severe hemoptysis bronchiectasis, the need to consider radical surgery. Antibacterial therapy for exacerbations or exacerbations of bronchiectasis. As for the choice of antibiotics, should be based on the characteristics of pathogens and drugs can enter the lung tissue at an effective concentration. Infection, it is best to take parenteral administration. Topical administration by inhalation is effective in patients with bronchiectasia who are ineffective in oral and injectable routes of administration.