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January 1936, Vol 51, No. 1 >
Other Articles | January 1936

OBSTRUCTIVE PULMONARY EMPHYSEMA DUE TO PARTIAL OBSTRUCTION OF THE BRONCHI BY TUBERCULOUS LESIONS

MANDEL L. SPIVEK, M.D.
Am J Dis Child. 1936;51(1):69-83. doi:10.1001/archpedi.1936.01970130078005.
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Probably nowhere in medicine is a cause and effect relationship between a given lesion and the resulting clinical picture more clearly demonstrable and predictable than in the case of partial or complete obstruction of a bronchus. Most of the exact knowledge on the subject is found in the epochal work of Chevalier Jackson. While such a relationship is most evident when the obstruction is due to the presence of a foreign body, conditions arise within the organism itself that can be evaluated with like accuracy. It is the purpose of this paper to report on a series of patients in whom tuberculous lesions of various kinds produced the characteristic clinical picture that results from partial obstruction of a main bronchus.

Obstruction to a major bronchus may be complete or partial. If the obstruction is complete, ventilation of the affected side ceases and the air in the alveoli is absorbed1

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