All issues > Volume 32(12); 1989

Original Article

J Korean Pediatr Soc. 1989;32(12):1669-1677. Published online December 31, 1989.

Clinical Studies on Bronchiectasis in Children.

Hye Sook Lee¹, Byeung Ju Jeong¹, Kyu Earn Kim¹, Ki Young Lee¹

¹Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea

Received: June 21, 1989;  Accepted: September 19, 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.

Keywords :Bronchiectasis in children bronchogram.