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KMID : 0882419750180100871
Korean Journal of Medicine
1975 Volume.18 No. 10 p.871 ~ p.878
Clinical Studies on Bronchiectasis
Kim Hun-Nam

Kim Jung-Gill
Lee Tae-Woong
Suh Kwang-Yong
Pakr Hong-Bae
Abstract
The clinical records and roentgenograms of 114 patients confirmed as bronchiectasis from July, 1966 to July, 1974 at Kwangju Christian Hospital were reviewed and the results were as follows;
1. Age incidence was highest in the third decade and next in the second decade.
2.The etiologies of bronchiectasis were unidentified causes (30.7%), pulmonary (tuberculosis (21.%), bronchopneumonia (13%), measles (11%), and sinusitis 7%), etc.
3. Frequent symptoms were productive cough, hemoptysis and chest discomfort.
4. Physical findings were non specific except for coarse rales ` (84 %) and clubbing of fingers (10.5%)
5. In the simple chest (P-A) films, abnormal findings suggestive of bronchiectatic lesions were increased bronchovascular markings (60.5%), cystic appearance (46.5%) and depressed hilar shadow (41%), etc.
6. The commonest site of involvement was left lower lobe, right lower lobe, and lingular segment in decreasing order of frequency.
7. The shapes of the bronchiectatic lesions roentgenologically in the different causative disease usually were cylindrical in measles, pertussis, sinusitis, bronchitis and bronchial asthma, and were saccular or cystic in bronchopneumonia and pulmonary tuberculosis.
8. Bacteriologic studies usually revealed normal upper respiratory mixed flora and alpha-hemolytic streptococci in the most of cases. Less frequently D. pneumoniae, Klebsiella and H. influenza were isolated.
9. Treatment of bronchiectasis as medical only in 77 cases. The reasons for this included the extent of disease, refusal of surgery, other systemic illness and age. Surgical resection was done in 37 cases with lobectomy and/r segmentectomy or pneumonectomy.
10. Tuberculous bronchiectasis WaS diagnosed in 13.5% of cases by pathologic examination.
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