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تقييم مرضى توسع القصبات من الناحية السريرية والاشعاعية == Bronchiectasis Clinical and Radiological Assessment
اسم المؤلف:
لمى جواد كاظم
اسم المشرف:
مصطفى نعمة عبد علي
الموضوع العام:
الطب
السنة:
2015
الموضوع الدقيق:
الامراض - الصدرية
الدرجة:
دبلوم عالي
الجامعة:
جامعة بغداد - كلية الطب
اللغة:
الانكليزية
مكان الجامعة:
بغداد
الصفحات الاولى:
📎 19T1617 - p.pdf
المستخلص:
BACKGROUND : Bronchiectasis is relatively common disease in developing countries, HRCT is the method of choice for the morphologic evaluation of patients with bronchiectasis.OBJECTIVE : To assess the clinical profile of patients with bronchiectasis and evaluate the clinical relevance of high - resolution CT findings in patients with bronchiectasis by using a quantitative high - resolution CT to assess extent of bronchiectasis, severity of disease, bronchial wall thickening, and presence of smallairway abnormalities and mosaic pattern. METHODS : A cross sectional study of 50 consecutive patients with bronchiectasis in respiratory department of Baghdad teaching hospital between 1st of September 2015 and end of April 2016, clinical features of bronchiectasis and results of HRCT were assessed and correlated. RESULTS : Mean age of participants (70% males, 30% females) was 53.44 ± 9.6 years and 52% of them were lifetime non - smokers. Most common identified causes of bronchiectasis were tuberculosis (48%), pneumonia (18.4%) and cystic fibrosis (4%).The predominant symptoms were productive cough (82%), dyspnea (94%), fever (74%) and chest pain (72%). The most common findings on chest examination were crackles (86%) and wheeze (74%). Types of bronchiectasis in HRCT were cystic in 62%, varicose in 32%, tubular 6%, Involvement was multilober in 46%, diffuse in 18%and right upper lobe in 18%. Of 50 patients, 92% have bronchial wall thickening, whereas 62% show small air way abnormalities, 56%have mosaic pattern. Patients with cystic disease have significant association with productive cough with large amount of sputum, hemoptysis, Crackle and Clubbing (p < 0.05), patients with small air way abnormalities in HRCT have significant correlation with chest pain, dyspnea and amount of sputum (p < 0.05). Patient with diffuse lobe distribution on HRCT have daily significant quantities of sputum production (P < 0.05), while multilober distribution have a significant association with dyspnea and wheeze (P < 0.05).CONCLUSION : Clinical finding in patients with bronchiectasis have significant correlation with HRCT chest finding which be used for monitoring activity of disease.Key words : bronchiectasis, HRCT, amount of sputum , bronchial wall thickening, mosaic pattern. Lobes distribution
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