All issues > Volume 25(12); 1982

Original Article

J Korean Pediatr Soc. 1982;25(12):1218-1224. Published online December 31, 1982.

A Clinical Observation on Acute Bronchiolitis.

Jong Man Lee¹, Won Ik Lee¹, Jong Seung Kim¹, Chang Kyu Oh¹

¹Department of Pediatrics, Catholic Medical College, Seoul, Korea

Abstract

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.

Keywords :Bronchiolitis.