Cohen Raya, Shteinberg Michal
Pulmonology Institute and CF Center, Carmel Medical Center, Technion- Israel Institute of Technology, The B. Rappaport Faculty of Medicine, 7 Michal Street, Haifa 3436212, Israel.
Pulmonology Institute and CF Center, Carmel Medical Center, Technion- Israel Institute of Technology, The B. Rappaport Faculty of Medicine, 7 Michal Street, Haifa 3436212, Israel.
Clin Chest Med. 2022 Mar;43(1):7-22. doi: 10.1016/j.ccm.2021.11.001.
Bronchiectasis is characterized by inflammation and abnormal dilatation of the airways secondary to various etiologies. A diagnosis of bronchiectasis requires that both radiological and clinical features are present. Determination of the etiology of bronchiectasis is important to allow specific treatment and should be guided by clinical features. The prognosis of bronchiectasis is highly variable, with severe cases suffering frequent exacerbations and hospitalizations, debilitating symptoms, and elevated mortality. Treatment is demanding, but adherence to treatment is associated with improved outcomes and should be assessed and reinforced. A partnership between patients and health care professionals is key to successful outcomes.
支气管扩张症的特征是由于各种病因导致气道炎症和异常扩张。支气管扩张症的诊断需要同时具备影像学和临床特征。确定支气管扩张症的病因对于进行针对性治疗很重要,且应以临床特征为指导。支气管扩张症的预后差异很大,严重病例会频繁出现病情加重和住院、出现使人衰弱的症状以及死亡率升高。治疗要求很高,但坚持治疗与改善预后相关,应对此进行评估和强化。患者与医护人员之间的合作是取得成功预后的关键。