Bronchiectasis – Bronchiectasis – status and sputum

In the wall of the bronchi due to chronic bronchitis there are significant structural changes, resulting in the violation of the drainage function and a delay in the secret expansion of the bronchi. Bronchiectasis most frequently arise from inflammation, t. it is. bronchitis infectious origin. The reason they may also be sclerosis of the lung tissue, bronchoconstriction, It causes swelling, foreign body etc.. The continued existence of bronchiectasis can lead to the development of bronchiectasis. Stagnates in bronchiectasis content often exposed to rotting, whereby there putrid bronchitis with abundant microflora. Aspiration content bronchiectasis leads to outbreaks of pneumonia, and sometimes gangrene or lung abscess. In some cases, due to ulceration bronchiectasis wall collapses and forms a cavity bronchiectasis. In these cases, the sputum in small scraps of decaying bronchial wall can be detected elastic fibers.

Classical clinical symptoms of bronchiectasis are:

• Cough;
• Purulent sputum.

Character of cough and phlegm in different patients varies considerably. In severe form of the disease, patients may cough up daily to 200-300 ml of purulent sputum. Often bronchiectasis seen streaks of blood in the sputum, but sometimes there may be a severe hemoptysis.

Sputum of bronchiectasis most purulent or mucopurulent, profuse, mixed with blood. On standing it is divided into two layers: the top - liquid, translucent, bottom - purulent. It can be detected cork Dietrich, which are visible macroscopically, and elastic fibers in the presence of tissue decay bronchi and bronchiectasis cavity formation.