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May 27, 1950


Author Affiliations

Columbus, Ohio

Dr. Buckles is assistant professor of thoracic surgery, Ohio State University, and a fellow of the American College of Surgeons.

JAMA. 1950;143(4):344-345. doi:10.1001/jama.1950.02910390016004

Since adequate reports of pulmonary resection in children are lacking, it is felt timely to present the results of surgical treatment in 25 cases of bronchiectasis in children. One of the common causes of cough is bronchiectasis. Laennec, many years ago, stated that for every 4 cases of bronchiectasis in the adult, 3 had their origin in childhood. In view of the morbidity and mortality accompanying this lesion, it is of the utmost importance that early recognition and adequate therapy be carried out. The only successful treatment to date is surgical extirpation of the suppurative lung disease.

It is estimated that bronchiectasis represents about 5 per cent of all diseases in childhood. The classic symptoms are cough, sputum and hemoptysis. The patients are subject to numerous infections of the upper respiratory tract and recurrent attacks of pneumonia. The principal complications are direct extension of the infection, pneumonia, empyema, pulmonary abscess