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Clinical Studies on Bronchiectasis in Children.

Journal of the Korean Pediatric Society 1989;32(12):1669-1677.
Published online December 31, 1989.
Clinical Studies on Bronchiectasis in Children.
Hye Sook Lee, Byeung Ju Jeong, Kyu Earn Kim, Ki Young Lee
Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea
소아기관지확장증의 임상적 관찰
이혜숙, 정병주, 김규언, 이기영
연세대학교 의과대학 소아과학교실
Received: 21 June 1989   • Accepted: 19 September 1989
Abstract
Clinical data and findings of 22 cases of bronchiectasis in children which were confirmed by bronchogram and treated at Yonsei University Hospital during the period of January 1980 to January 1987 were riewed. The results were briefly summarized as follows; 1) Bronchiectasis was seen most frequently within the age group of 6〜 10 year (54.5%) and 72.7% of all patients were under 10 years of age. 2) Identifiable etiologic factors were pneumonia in 54.5% of cases, primary obstructive lesions (lymphadenopathy and endobronchial TB) in 18.2%, bronchitis in 9.2% and measles in 4.5%. 3) The main clinical symptom was cough in 72.7%. The other complaints were abundant expector- ation in 50% of cases and fever in 40.9%. Moist rales over the affected area of the lung were heard in 45.5% and wheezing was heard in 18.2%. 4) The average duration of illness was 6 months or less in 81.8% and beyond 1 year in 13.7% of all patients. 5) Bronchiectatic examination revealed that the main types of bronchiectasis were the cylindrical type in 36.4% and mixed type in 45.4%. 6) Simple chest X-ray examination findings were pneumonia in 68.2%, bronchitis in 13.6% and pleurisy in 13.6%. 7) The involvement of the lung was usually the right lower lobe (54.5%) and the left lower lobe (40. 9%). The extent of the disease was usually confined to 1 or 2 lobes but more than 2 lobes were involved in 27.9% of cases.
Key Words: Bronchiectasis in children bronchogram.


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