의증 유소아 기도이물의 임상적 고찰

안병훈; 송달원; 최용식; 박기철; 이근양; 김중강

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자료유형: 학술저널

저자정보: 안병훈 (계명대학교 의과대학 이비인후과학교실) 송달원 (계명대학교 의과대학 이비인후과학교실) 최용식 (계명대학교 의과대학 이비인후과학교실) 박기철 (계명대학교 의과대학 이비인후과학교실) 이근양 (계명대학교 의과대학 이비인후과학교실) 김중강 (계명대학교 의과대학 이비인후과학교실)

저널정보: 대한기관식도과학회 대한기관식도과학회지 대한기관식도과학회지 제3권 제1호

발행연도: 1997.1

수록면: 84 - 93 (10page)

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연구주제

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연구배경

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연구방법

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The bronchoscopy is usually performed in the patients who present symptoms of wheezing, hemoptysis, signs of airway obstruction, unexplained long-term chronic cough with or without radiologic features of pneumonia, emphysema or atelectasis. The symptoms and signs of cases of suspected airway foreign body are of often cofused with those of asthma pneumonia and other respiratory tract disease. The ventilating bronchoscopy will be helpful for removal of certain foreign bodies as well as alleviating medically-unresponsive bronchopulmonary conditions via removing abnormal secretions or merely improving ventilation. The authors have performed clinical analysis of 59 patients who were suspected of airway foreign bodies and treated by ventilating bronchoscopy from September 1985 to February 1995. The results were as follows: 1) Among the 59 cases of bronchoscopy, 51 cases(97%) were under the age of 3. The ratio of male and female was 2.69:1 2) Most common presenting symptom was coughing(84.7%) followed by dyspnea, fever, wheezing and anterior chest pain. 3) Among 39 cases of identified foreign bodies, abnormal findings in the chest X-ray films were found in 33 cases(84.6%) and most common abnormal radiologic feature was pneumonia in 10 cases(25.6%) followed by combination of pneumonia and emphysema, or emphysema alone. All the 20 cases of absent foreign body presented abnormal radiologic features and common findings were pneumonia and atelectasis. 4) Vegetable foreign bodies were the most common form of removed airway foreign bodies(69.2%) followed by metallic foreign bodies(12.8%) and plastic foreign bodies(7.7%). 5) By distribution of the location of foreign bodies, 29 cases(74.4%) were located in the main bronchus( 16 cases of right side and 13 cases of left side), 8 cases were in the trachea and 2 cases were found at the cordal level. 6) By duration of foreign body lodgement in the airway, 9 cases(23.1%) were removed within 7 to 30 days, 10 cases(5.6%) within 3 days and 5 cases(12.8%) were enlodged over 30 days. 7) In the cases of absent foreign bodies, common bronchoscopic findings were mucopurulent or thick mucoid discharge in the main bronchi, erythema or edema of bronchial mucosa and all the cases were improved after ventilating bronchoscopy with concomitant medical management.

#Foreign body #Airway #Ventilating bronchoscopy

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안병훈

소속기관 계명대학교 의과대학 이비인후과학교실

주요연구분야 의약학 > 임상의학 > 이비인후과학 의약학 > 임상의학 > 일반 외과학

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송달원

소속기관 계명대학교 의과대학 이비인후과교실