1. Whether there are symptoms, the severity of symptoms, the history of repeated lung infections, the number of attacks, and the therapeutic effect. If the symptoms are mild and the infection is easy to control, medical treatment can be used, otherwise surgery should be considered.
2. It is important to consider whether there is a history of hemoptysis. Some so-called "bronchiectasis sicca" usually do not have many symptoms of lung infection, but may suddenly hemoptysis. Branching and dilation is a benign disease. Today, with the use of a variety of antibiotics, most infections can be controlled and can survive for many years after illness, but severe hemoptysis can be life-threatening. Although bronchial artery embolization can be urgently sought now, in the long run, there is the best surgical treatment for massive or repeated hemoptysis.
Suggestion: The treatment principle of bronchiectasis is to eliminate pathogens, promote expectoration, control infection and other conservative drug treatment, and if necessary, perform surgical treatment.
Drug treatment is the foundation, even if there are clear indications for surgery, it will take some time to treat. Some people think that it should be treated for at least half a year, because after the pulmonary infection is controlled, some branches may return to normal, and the operation is safer and the curative effect is better after the acute inflammation disappears. Cases that cannot be operated need long-term medical treatment.