Bronchiectasis in Childhood

Ventilatory mechanics in patients with bronchiectasis starting in childhood

“…In this study, the present status of the patients varied, 28 patients having intermittent symptoms and 41 persistent cough and sputum. As in most other series (Diamond and van Loon, 1942;Field, 1949;Strang, 1956;Williams and O'Reilly, 1959), the disease process began in the majority of patients under 5 years of age. Forty-nine were treated medically and 20 surgically.…”

Bronchiectasis in Childhood

“…Ginsberg et al (1955), reviewing the results of surgical treatment of 221 patients, nearly all adult, noted that about one-eighth of them had shown extension of the bronchiectasis but do not say in what proportion the extension mlay have been a post-operative phenomenon. Of the authors quoted only Diamond and Van Loon (1942) and Field (1949) seem to have performed repeat bronchograms on any considerable number of children, and their results appear to be mutually contradictory. I have so far found no other report which presents any evidence bearing on this problem.…”

Pulmonary Collapse in Pertussis

“…This preponderance of rightover left-sided collapse-is unusual, though it will be appreciated that left lower-lobe collapse is more difficult to diagnose. Oswald (1947) noted left lower-lobe collapse twenty-eight times to eighteen times on the right, Diamond and Van Loon (1942) an incidence of fifteen to twelve, and Campbell 37 et al (1943) an equal incidence in seventy-eight cases. The reasons offered for the greater frequency of left-sided collapse are that the left main bronchus arises at a more acute angle and that it is in intimate relationship with the arch of the aorta and the pulmonary artery.…”