支气管扩张症48例临床分析

目的探讨支气管扩张症的临床特点。方法总结1998-2003年确诊的支气管扩张症的临床资料。结果既往患麻疹、肺炎、哮喘者共5例，病程多数较长，平均病程8年，30岁前起病者占54．1％，咳嗽36例，占75％，无痰及少痰者41例，占85．4％，多量脓痰者3例，仅占6．2％，单纯表现咯血平时无明显咳嗽咳脓痰即干性支气管扩张16例，占33．3％，部分患者无明显自觉症状仅在CT检查时被发现。结论近年来支气管扩张临床表现不典型，轻型多见，甚至可无明显自觉症状，咳大量脓痰少见，干性支气管扩张多见。

Bronchiectasis 48 cases of clinical analyses

Objective To discuss the clinical characteristic of bronchiectasis in recent years.Methods Wesummarized the clinical symptoms of diagnosed bronchiectasis in our hospital during latest 5 years.Results 5 cases had anamnesis of measles,pneumonia,or asthma,with an average duration of 8 years,and in which 54.1% began before the age of 30.36 cases had cough,up to 75%.41 cases had no or little phlegm,up to 85.4%.3(6.2%) cases had much phlegm.16(33.3%) cases had emptysis and no obvious cough or thick phlegm symptoms.Some patients without consciousness symptoms were diagnosed by CT scanning.Conclusion During latest years the clinical representation of bronchiectasis is atypical,mostly mild,even without any consciousness symptoms,few with coughing up much phlegm,many with dry bronchiectasis.