Usefulness of Chest High-Resolution CT in Patients with
Chronic Cough Below 2 Years of Age |
Myung Hyun Kim1, Jung Hee Kim1, Dae Hyun Lim1, Byong Kwan Son1, Kyung-Hee Lee2 |
1Department of Pediatrics, College of Medicine, Inha University, Incheon, Korea 2Department of Radiology, College of Medicine, Inha University, Incheon, Korea |
2세 미만의 만성 기침 환아에서 흉부고해상 전산화 단층 촬영의 유용성 |
김명현1, 김정희1, 임대현1, 손병관1, 이경희2 |
1인하대학교 의과대학 소아과학교실 2인하대학교 의과대학 방사선학교실 |
Correspondence:
Dae Hyun Lim, Email: dhnlim@inha.ac.kr |
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Abstract |
Purpose : The purpose of this study was to evaluate the clinical usefulness of chest high-resolution computed tomography(HRCT) in patients with chronic coughs or persistent wheezing with normal chest X-ray finding.
Methods : We reviewed the charts, chest X-rays, and HRCT findings of patients with chronic coughs or persistent wheezing of less than 2 years of age. The records were sourced from the Department of Pediatrics, Inha University Hospital covering the period from July, 1999 to June, 2000. Chronic cough was defined as a cough which was prolonged for more than 3 weeks.
Results : The sample consisted of 24 patients(male 15 and female 9, mean age 4.7?.8 months old). Among them, 16 patients showed normal findings(66.7%) and 8 patients showed abnormal (33.3%) in simple chest X-rays. Among 16 patients who had the normal chest X-rays, 13 patients showed abnormal chest HRCT findings(81.3%) such as air space consolidation of the dependent portion(62.5%), bronchiolitis obliterans(12.5%), and bronchopulmonary dysplasia(6.3%).
Conclusion : We suggest that the chest HRCT is a useful diagnostic tool in the evaluation of patients with chronic cough or persistent wheezing with normal chest X-ray, especially below 2 years of age. |
Key Words:
Chronic cough, Chest HRCT |
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