副鼻腔気管支炎

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タイトル別名
  • Sinobronchitis
  • フクビクウ キカンシエン

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During a period of 9 years (1967-1675), 2602 cases with paranasal sinusitis consulted our clinic and out of them, in 140 cases (5.3%) paranasal sinusitis were complicated by chrohic bronchitis or bronchiectasis and treated under the diagnosis of sinobronchitis. The incidence of sinobronchitis was highest (40.2%) in children with paranasal sinusitis aged 2 to 5 years and gradually decreased with increase of age. Clinical symptoms, history, onset, nasal findings, sinal and chest x-ray findings and bacilli in the upper and lower airway of 71 children with sinobronchitis aged 2 to 15 years were investigated. 20 of them were cured by oral administration of proteolytic enzyme and aerosol therapy and their prognoses were followed up for 3 to 6 months. A complete cure was obtained in 15 of them and recurrence occurred in 5. From the etiological viewpoint of sinobronchitis Kartagener's syndrome, cystic fibrosis of the pancreas, a-or dysgammaglobulinemia and alpha1-antitripsin deficency were reviewed. Finally, difference between sinobrochitis and allergy of all airway, and causality between chronic paranasal sinusitis and small airway disease were discussed.

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