| A Clinical Observation on Acute Bronchiolitis. |
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Jong Man Lee, Won Ik Lee, Jong Seung Kim, Chang Kyu Oh |
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Department of Pediatrics, Catholic Medical College, Seoul, Korea |
| 급성 세기관지염 환아의 임상적 관찰 |
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이종만, 이원익, 김종승, 오창규 |
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카톨릭의과대학 소아과학교실 |
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| Abstract |
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A clincial study of 289 cases of acute bronchiolitis, which were admitted to the pediatric
department of St. Paul’s Hospital during the period of 6 years from January 1975 to December
1980 was reviewed.
The results were as follows:
1. Male was predominant, and male to female ratio was 2.3 : 1.
2. The highest incidence (72.3%) was in infants below the age of 6 months and incidence
of 6 months-1 year was 23.5%.
3. Ther were relatively high, incidence in winter season, especially November, Decomber.
4. In feedingpattern, the ratio of breasttfeeding to bottle and mixed feeding was about 4
： 2 ： 1.
5. In duraton of illness before admission, most patients(73.3%) came to hospital within 5
days, and 89. Z% of patients came to hospital up to 7 days. Hospitalization periods were 5〜7
days in most cases(76.1%).
6. The cardinal symptoms on admission were coughing(94.8%), dyspnea(60.2%) stridor
(48.1%), and fever(33.9%).
7. The prinipal signs of physical examination on admission were coarse breathing sound
(86.5%), chest retraction(55.7%), rales(55.7%) in order. Other signs including pharynx
injection, wheezing, hepatomegaly, rhonchi, alse nasi flaring, decreased breathing sound were
noted in low incidence.
8. Average respiration rate per minutes was predominantly 41 〜60/min(69.2%).
9. Body weight distribution was relatively eAen and of no significance.
10. Hematologic findings showed 10〜 13gm/dl(68.6%) in hemoglobin, 10,000〜20,000/mm3
(52.9%) in leukocyte count..
11, Chest X-ray findings showed emphysemantous change(83.4%), lung infiltration or patchy
shadow (29.1%). Besides, increased lung markings, prominent hilar shodow, air-bronchogram,
atelectasis were shown, in low incidence.
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| Key Words:
Bronchiolitis. |
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