BRONCHIECTASIS . 3RD REPORT ON A FOLLOW-UP STUDY OF MEDICAL AND SURGICAL CASES FROM CHILDHOOD

被引:66
作者
FIELD, CE
机构
[1] University College Hospital, Hospital for Sick Children
[2] Department of Paediatrics, Queen Mary Hospital, Hong Kong
关键词
D O I
10.1136/adc.44.237.551
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
This is the third report on 54 medically-treated and 111 surgically-treated patients followed from childhood. The observation period averages about 21 years and the present average age of the patients is 27 years. The patients have been classified into four grades of assessment. Those in grade I are healthy and symptom free, and include 31·5% of the medically-treated and 33·3% of the surgically-treated patients. In this series the only aetiological factor with an apparently good prognosis was tuberculosis. Prognosis has been related to the extent of disease and the type of bronchiectasis. Haemoptysis and recurrent chest infections were common in grades II, III, and IV. Marriage did not seem to affect the course of the disease except during pregnancy when there was usually an exacerbation of symptoms. Four deaths are reported, all in patients who had been treated surgically. The trend has been for definite improvement to occur in the second decade, which on the whole has been maintained in the third decade and so far into the fourth decade. The exceptions are the severe cases which slowly deteriorate to a fatal outcome. There was a sharp fall in incidence of cases of bronchiectasis attending children's hospitals between 1950 and 1960 at the time the broad spectrum antibiotics were introduced. Present-day treatment with chemotherapy and antibiotics has probably affected the long-term prognosis of bronchiectasis.
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页码:551 / +
页数:1
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