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  4. old people bronchiectasis complication, old people bronchiectasis can cause what disease

old people bronchiectasis complication, old people bronchiectasis can cause what disease

old people bronchiectasis complication, old people bronchiectasis can cause what disease

Complications of bronchiectasis in the elderly

Common complications: hemorrhagic shock, lung abscess and chronic pulmonary heart disease

Complications of bronchiectasis in the elderly

1. Chronic respiratory failure and chronic pulmonary heart disease

Bronchiectasis is caused by repeated suppurative airway infection, and in the late stage, it often leads to the decline of effective alveolar ventilation function, hypoxia and/or hypercarbon dioxide, and develops into respiratory failure; Then it causes pulmonary hypertension, right ventricular hypertrophy and dilatation, and develops into chronic pulmonary heart disease. This is the main cause of death of bronchiectasis and should be actively prevented.

2. Lung abscess

On the one hand, bronchiectasis has persistent infection due to the damage of the original structure. On this basis, when the aggravation of local infection is difficult to control, it is easy to lead to lung tissue necrosis and abscess; On the other hand, due to the long-term permanent pathological changes of the lower respiratory tract, respiratory symptoms appear constantly, and it is easy to inhale colonized bacteria (especially anaerobic bacteria) in the upper respiratory tract, resulting in lung abscess. Due to the application of effective antibiotics, the occurrence of lung abscess has decreased.

3. Abscess of adjacent or distant organs

Suppurative bronchitis or lung abscess and other local spread, can cause pleurisy, empyema, pericarditis, or through blood circulation to no septal organs, metastatic abscess in the brain. Due to the widespread use of antibiotics, such complications have rarely occurred.

4. Shock or asphyxia

Patients with massive hemoptysis in a short period of time may be complicated with hemorrhagic shock or asphyxia. In addition to the active use of hemostatic drugs in internal medicine to keep respiratory tract unobstructed, interventional therapy such as bronchial artery embolization is often needed in emergency.

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