Box Surgery, Wiltshire, UK.
Thame Health Centre, Thame, UK.
NPJ Prim Care Respir Med. 2019 Jun 27;29(1):24. doi: 10.1038/s41533-019-0136-8.
The British Thoracic Society (BTS) Guidelines for Bronchiectasis in adults were published in January 2019, and comprise recommendations for treatment from primary to tertiary care. Here, we outline the practical implications of these guidelines for primary care practitioners. A diagnosis of bronchiectasis should be considered when a patient presents with a recurrent or persistent (>8 weeks) productive cough. A definitive diagnosis is made by using thin-section chest computed tomography (CT). Once diagnosed, patients should be initially assessed by a specialist respiratory team and a shared management plan formulated with the patient, the specialist and primary care teams. The cornerstone of primary care management is physiotherapy to improve airway sputum clearance and maximise exercise capacity, with prompt treatment of acute exacerbations with antibiotics.
英国胸科学会（BTS）成人支气管扩张症指南于 2019 年 1 月发布，其中包含从初级保健到三级保健的治疗建议。在这里，我们概述了这些指南对初级保健医生的实际意义。当患者出现反复或持续（>8 周）有痰咳嗽时，应考虑支气管扩张症的诊断。通过使用胸部薄层 CT 扫描可做出明确诊断。一旦确诊，患者应首先由专科呼吸团队进行评估，并与患者、专科医生和初级保健团队共同制定管理计划。初级保健管理的基石是物理治疗，以改善气道痰液清除并最大限度地提高运动能力，并及时用抗生素治疗急性加重。
