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bronchography

呼吸

关键词呼吸 诊断方式 慢性呼吸道疾病

词汇介绍

拓展阅读

解析

bronchography   /brɔŋ'kɔɡrəfi/

释    义   n. [特医] 支气管造影(术)

例    句   Bronchiectasis were demonstrated in 18 cases with 55 segments on CCT, the lesion detecting rate of CCT was lower than both bronchography and HRCT(P<0 05). 常规CT有18例发现病变,检出病变肺段数为55个,其病变检出率明显低于HRCT和支气管造影术。

概述

相关疾病鼻旁窦支气管综合征,Kartagener综合征,小儿先天性肺囊肿,小儿原发性纤毛运动障碍,小儿单侧肺异常透亮综合征,急性气管-支气管炎,气管支气管异物,喘息样支气管炎,小儿支气管扩张,小儿纵隔压迫综合征。参考范围  正常造影表现:各叶段支气管分支由粗变细,分级清楚,分布正常,管壁光滑,充盈均匀并容易充盈至远端。两侧支气管阴影对称。临床意义支气管造影术的适用症范围有:(1) 先天或后天性支气管和肺的疾患,如支气管扩张、支气管和肺部肿瘤、机化性肺炎、慢性肺脓肿以及肺不张等。(2)

Dual antibiotics for bronchiectasis复制标题

双抗生素治疗支气管扩张

发表时间:2018-06-11

影响因子:7.8

作者: Felix Lambert M.

期刊:Cochrane Database Syst Rev

Bronchiectasis is a chronic respiratory disease characterised by abnormal and irreversible dilatation of the smaller airways and associated with a mortality rate greater than twice that of the general population. Antibiotics serve as front-line therapy for managing bacterial load, but their use is weighed against the development of antibiotic resistance. Dual antibiotic therapy has the potential to suppress infection from multiple strains of bacteria, leading to more successful treatment of exacerbations, reduced symptoms, and improved quality of life. Further evidence is required on the efficacy of dual antibiotics in terms of management of exacerbations and extent of antibiotic resistance. We searched for randomised controlled trials comparing dual antibiotics versus a single antibiotic for short-term (< 4 weeks) or long-term management of bronchiectasis diagnosed in adults and/or children by bronchography, plain film chest radiography, or high-resolution computed tomography. Primary outcomes included exacerbations, length of hospitalisation, and serious adverse events. Secondary outcomes were response rates, emergence of resistance to antibiotics, systemic markers of infection, sputum volume and purulence, measures of lung function, adverse events/effects, deaths, exercise capacity, and health-related quality of life. We did not apply outcome measures as selection criteria.

译文

支气管扩张症是一种慢性呼吸道疾病,其特征在于较小气道的异常和不可逆的扩张,并且死亡率大于一般人群的两倍。抗生素作为控制细菌负荷的前线疗法,但它们的使用与抗生素抗性的发展相称。双重抗生素治疗有可能抑制多种细菌的感染,从而更成功地治疗恶化,症状减轻和生活质量提高。需要进一步证明双重抗生素在恶化的治疗和抗生素耐药程度方面的疗效。我们搜索了比较双重抗生素与单一抗生素短期(<4周)或长期治疗成人和/或儿童支气管扩张的随机对照试验,通过支气管造影,平片胸片或高分辨率计算机断层扫描。主要结果包括恶化,住院时间和严重不良事件。次要结果是反应率,抗生素耐药性,感染的全身标志,痰量和脓性,肺功能测量,不良事件/影响,死亡,运动能力和与健康相关的生活质量。我们没有将结果测量作为选择标准。