A clinical analysis of 55 cases of bronchiectasis in children in Wenzhou area
JIN Weijing1,2, ZHANG Lele1, ZHANG Hailin1, ZHANG Weixi1, LI Changchong1.
1.Department of Respiratory, the Second Affiliated Hospital & Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, 325027; 2.Department of Internal Medicine, Hangzhou Children’s Hospital, Hangzhou, 310002
JIN Weijing,ZHANG Lele,ZHANG Hailin, et al. A clinical analysis of 55 cases of bronchiectasis in children in Wenzhou area[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2016, 46(2): 140-143.
Abstract：Objective: To explore the etiology, imaging characteristics and pathogen distribution of the bronchiectasis children in Wenzhou. Methods: Datas of 55 patients with bronchiectasis from January 1997 to March 2013 were retrospectively analyzed. Results: The main cause of bronchiectasis in 34 cases was respiratory tract infection (61.82%). Other causes induded 2 cases of bronchial foreign bodies (3.64%), 2 cases of congenital immunodeficiency disease (3.64%), 2 cases of primary cilia dysfunction (3.64%), 3 cases of congenital respiratory system malformations (5.45%), 4 cases of bronchial asthma (7.27%), 1 case of allergic bronchial pulmonary aspergillosis (1.82%), 1 case of inflammatory bowel disease (1.82%), and 6 cases of unknown reasons. Eight cases (14.55%) had positive hints in Chest X-ray, while chest high-resolution CT (HRCT) was 100%, and the difference was statistically significant (x2=82.0, P<0.05). Sputum examination results of 35 (35%) were positive in 100 specimens. Pseudomonas aeruginosa was the most common (31.82%). Conclusion: Respiratory tract infection is the most common cause of bronchiectasis in the Wenzhou area. HRCT is a major method of diagnosis. Gram-negative bacteria infection is the main pathogen, especially pseudomonas aeruginosa.
