Clinical Analysis Of 301 Cases Of Patients With Bronchiectasis

ObjectiveTo analyze the clinical manifestations,chest high-resolution computed tomography(HRCT)and lung function of bronchiectasis(BE)to enhance our knowledge of this disease.MethodsThis study collected 301 cases of patients with BE,who were diagnosed by HRCT and admitted in the First Affiliated Hospital of Zhengzhou University from June 1,2015 to June 1,2016 and retrospectively analyzed the their age,sex,onset age,etiology,clinical menifestation,chest HRCT,lung function and some other data.Results1.This disease’s prevalence in women(62.79%)was higher than in men(37.21%),and onset age of women(33.93±19.86)was smaller than men(40.43±20.55).2.The most common symptoms of this disease successively were cough(84.05%),sputum(80.07%),chest tightness(52.6%),hemoptysis(42.19%),fever(32.56%),chest pain(9.3%)and others.3.Idiopathic(62.12%)was the most common etiology,and then it was post-tuberculosis(19.93%).4.Inferior lobe of left lung was the most vulnerable part(77.41%),and the number of patients involved all the lobes was the most(25.91%).5.Patients with cystic bronchiectasis were more vulnerable to suffer typical symptoms,namely cough,sputum,chest tightness and hymoptysis.6.In this study,108 cases of these patients underwent lung functional examination and 69.44% of them suffered obstructive ventilatory dysfunction.FEV1/FVC was negatively correlated with HRCT score in patients with obstructive ventilatory dysfunction.Conclusions1.The prevalence in women is higher than in men.2.Idiopathic is the most common cause of bronchiectasis.3.The menifestation of patients with cystic bronchiectasis are most obvious and it is more vulnerable to suffer from all lobes’ lesions.4.The majority of these patients suffer from obstructive ventilation dysfunction,and their FEV1/FVC is negatively correlated with HRCT score.