Diagnostic Value of the Lung Perfusion Scan in Foreign body Aspiration. |
Ki Hong Park1, Chong Woo Bae1, Byoung Soo Cho1, Sa Joon Chung1, Yong Mook Choi1, Chang Il Ahn1, Sun Wha Lee2, Chang Il Cha3 |
1Department of Pedatrics, College of Medicine, Kyung Hee University, Seoul, Korea 2Department of Radiology, College of Medicine, Kyung Hee University, Seoul, Korea 3Department of Otolaryngology, College of Medicine, Kyung Hee University, Seoul, Korea |
기도이물 환아에서의 폐관류주사 (Lung Perfusion Scan) 의
진단적 의의 |
박기홍1, 배종우1, 조병수1, 정사준1, 최용묵1, 안창일1, 이선화2, 차창일3 |
1경희대학교 의과대학 소아과학교실 2경희대학교 의과대학 진단방사선과학교실 3경희대학교 의과대학 이비인후과교실 |
Received: 5 February 1988 • Accepted: 9 May 1988 |
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Abstract |
Lung perfusion scan was performed on 5 young children suspected as foreign body aspiration who
had been admitted on the Department of Pediatrics, Kyung Hee University Hospital from May 1986
to January 1988.
The results were as follows:
1) All children had been showed perfusion defect as compatible as acute obstructive lung disease
by lung perfusion scan and foreign bodies in bronchial tree were proved on all children bronchos-
copically.
2) There was complete concordance between perfusion defect area and lodging sites of foreign
bodies.
3) There were more severe perfusion defect in prolonged period since inhalation than that of short
period and more slow return of perfusion activity in prolonged period since inhalation than that of
short period.
In conclusion, lung perfusion scan is easy to perform, safe and minimal co-operative and highly
accurate diagnostic method in foreign body aspiration. Especially, it is one of the necessary and
important procedures in case of foreign body aspiration which presents vague history of aspiation,
insufficient clinical manifestation and normal chest X-ray findings. |
Key Words:
Foreign body aspiration, Lung perfusion scan |
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