Bronchiectasis in urban black children.
From July 1979 to July 1982, 29 cases of childhood bronchiectasis were encountered at Leratong Hospital. They were retrospectively divided into two groups: 16 patients underwent surgical intervention and the other 13 patients received medical treatment only. Symptoms and signs were reviewed and findings on bronchography were studied. The left lower lobe was the most common site of involvement, and the lingular segment was invariably also affected by bronchiectatic changes. Ten of the surgical patients (63%) underwent pneumonectomy. In 75% of the surgical group there was an excellent or good result after surgery, while a good result was achieved in 40% of those receiving medical treatment only. We have reviewed other large series to compare surgical and medical management, and discuss factors that may influence the outcome of surgical treatment.
D000293:Adolescent; D001987:Bronchiectasis / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D001995:Bronchography; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D011013:Pneumonectomy; D012189:Retrospective Studies; D014505:Urban Population