[Significance of anamnestic factors in the background of pathologic airway alterations].
The results of 867 diagnostic bronchoscopies, between August 1992 and August 1993, were studied by the retrospective analysis of the patients' files. The average age of the children was 46 months (6 days-25 years). The proportion of girls and boys were 38.6% and 61.4%. Data of the history were: therapy resistant recurrent wheezy bronchitis in 31.9%, recurrent pneumonia in 31.1%, stridor in 22.1%, recurrent croup in 17.4%, bronchial asthma in 10.1%, monosymptomatic cough in 9.5% and recurrent bronchitis in 8.0%. The 768 (89%) pathologic findings were: 1. by bronchoscopy (n = 867): acute inflammation of the mucous membrane 7.3%, chronic bronchitis 75.1%, mucous secretion 44.5%, purulent secretion 20.8%, cricoid stenosis 4.6%, tracheal stenosis 11.2%, left main stem bronchus stenosis 27.8%; 2. by bronchography (n = 202): bronchial deformation 43.1%, bronchiectasis 5.4%, gracile bronchi 2.0%. The following significant relations were proved between the anamnesis and the results of the bronchoscopy and/or bronchography by statistical analysis: recurrent wheezy bronchitis/chronic bronchitis (p < 0.001; chi 2 = 16.35), approximately/purulent secretion (p = 0.039; chi 2 = 4.26), approximately/left main stem bronchus stenosis (p < 0.001; chi 2 = 19.27); stridor/tracheal stenosis (p < 0.001; chi 2 = 58.67), approximately/left main stem bronchus stenosis (p < 0.001; chi 2 = 63.45), approximately/cricoid stenosis (p = 0.0015; chi 2 = 10.8), approximately/other stenosis (p = 0.002; chi 2 = 9.69); recurrent croup/cricoid stenosis (p < 0.001; chi 2 = 18.34); bronchial asthma/bronchial deformation (p = 0.026; chi 2 = 4.95). The results show the importance of the bronchological examination in the diagnosis of chronic chest symptoms in children.
Baktai
G
G
Bronchológiai Osztály, Svábhegyi Allami Gyermekgyógyintézet, Budapest.bak8070@helka.iif.ju
D000293:Adolescent; D000328:Adult; D001249:Asthma / Q000473:pathology; D001991:Bronchitis / Q000473:pathology; D001999:Bronchoscopy; D002648:Child; D002675:Child, Preschool; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007249:Inflammation; D008297:Male; D012008:Recurrence; D020545:Respiratory Mucosa / Q000473:pathology; D012135:Respiratory Sounds; D012137:Respiratory System / Q000473:pathology*; D012140:Respiratory Tract Diseases / Q000175:diagnosis* / Q000473:pathology; D012189:Retrospective Studies; D013492:Suppuration