Shteinberg Michal, Hardak Emilia, Koslow Matthew, Prais Dario, Cohen-Cymberkno Malena, Shoseyov David, Dagan Adi, Adir Yochai, Shitrit David
Pulmonology Institute, Carmel Medical Center.
CF Center, Carmel Medical Center.
Harefuah. 2018 Feb;157(2):117-121.
Bronchiectasis is anatomically defined by irreversible distortion of the bronchi. Clinically, its manifestations are cough with sputum production and a predisposition to pulmonary infections. Unlike asthma and COPD, where ample clinical data are present regarding the course and effective treatment, knowledge of bronchiectasis has yet to evolve. Lately, bronchiectasis is gaining renewed attention among the medical community, with growing basic and clinical research-based data. In Israel, no registered treatments exist for bronchiectasis, which makes it difficult to treat these patients. This paper is a summary of the position of the Israeli Pulmonology Association and the Israeli Pediatric Pulmonology Association for diagnosis and treatment of bronchiectasis.
支气管扩张在解剖学上的定义是支气管的不可逆扭曲。临床上,其表现为咳嗽伴咳痰以及易患肺部感染。与哮喘和慢性阻塞性肺疾病不同,关于哮喘和慢性阻塞性肺疾病的病程及有效治疗已有大量临床数据,而支气管扩张方面的知识仍有待发展。最近,随着基于基础和临床研究的数据不断增加,支气管扩张在医学界重新受到关注。在以色列,尚无针对支气管扩张的注册治疗方法,这使得治疗这些患者变得困难。本文是以色列肺科协会和以色列儿科肺科协会关于支气管扩张诊断和治疗立场的总结。