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Encyclopedia Britannica



BRONCHIECTASIS (Gr. fpoyxra, bronchial tubes, and @Krauts, extension)

This article appears in Volume V04, Page 634 of the Encyclopedia Britannica.

Encyclopedia Britannica - Main :: BRI-BUN
BRONCHIECTASIS (Gr. fpoyxra, bronchial tubes, and @Krauts, extension) , dilatation of the bronchi, a
condition
  occurring in connexion with many diseases of the lungs.
Bronchitis
  both acute and chronic, chronic
pneumonia
  and phthisis, acute
pneumonia
  and broncho-pneumonia, may all leave after them a bronchiectasis whose position is determined by the primary lesion. Other causes, acting mechanically, are tracheal and bronchial obstruction, as from the pressure of an aneurism, new growth, &c. It used to be considered a disease of middle age, but of
late
  years Dr Walter Carr has shown that the
condition
  is a fairly common one among debilitated children after measles, whooping cough, &c. The dilatation is commonly cylindrical, more rarely saccular, and it is the
medium
  and smaller sized tubes that are generally affected, except where the cause is mechanical. The affection is usually of one lung only. Emphysema is a very common accompaniment. Though at first the symptoms somewhat resemble those of
bronchitis
 , later they are quite distinctive. Cough is very markedly paroxysmal in character, and though severe is intermittent, the patient being entirely free for many
hours
  at the time. The effect of posture is very marked. If the patient lie on the affected side, he may be free from cough the whole night, but if he turn to the
sound
  side, or if he rises and bends forward, he brings up large quantities of bronchial secretion. The expectoration is characterized by its abundance and manner of expulsion. Where the dilatation is of the saccular variety, it may come up in such quantities and with so much suddenness as to gush from the mouth. It is very commonly foetid, as it is retained and decomposed in situ. Dyspnoea and haemoptysis occasionally occur, but are by no means the
rule
 . If pyrexia is present, it is a serious symptom, as it is a sign of septic absorption in the bronchi, and may be the forerunner of gangrene. If gangrene does set in, it will be accompanied by severe attacks of shivering and sweating. Where the disease has lasted
long
 , clubbing of fingers and toes is very common. The diagnosis from putrid bronchitis is usually fairly easily made, but at times it may be a matter of extreme difficulty to distinguish between this condition and a tuberculous cavity in the lung. Nothing can be done directly to cure this disease, but the patient's condition can be greatly alleviated. Creosote vapour baths are eminently satisfactory. A mechanical treatment much recommended by some of the German physicians is that of forced expiration.


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