迁延性细菌性支气管炎治疗进展及预后

Treatment progress and prognosis of protracted bacterial bronchitis

迁延性细菌性支气管炎（PBB）是儿童慢性湿性咳嗽的重要病因。基于细菌感染是PBB的主要病原，因此，抗细菌感染治疗是主要的治疗手段。阿莫西林-克拉维酸钾作为经验性治疗的主要抗生素，建议至少使用2周以上，一般为4周，部分患儿需要6—8周。痰培养或支气管肺泡灌洗液培养阳性者，则可选用药敏试验敏感的抗生素治疗。

Protracted bacterial bronchitis （PBB） is an important cause of chronic wet cough. Bacterial infection is the main pathogen of PBB, so antibacterial infection is the main treatment. As the main antibiotic of experiential treatment, Amoxicillin - elavulanate is recommended to be used for at least 2 weeks, usually 4 weeks, and 6 to 8 weeks in part. If the sputum culture or bronchoalveolar lavage fluid is positive, the selection of antibiotic therapy can be according to drug sensitivity test.