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Clinical study on the airway and alimentary tract foreign body.

Journal of the Korean Pediatric Society 1982;25(9):922-928.
Published online September 30, 1982.
Clinical study on the airway and alimentary tract foreign body.
Byung Hoon Kim, Eui Soo Park, Gwi Jong Choi, Chong Moo Park
Department of Pediatrics, Hanyang University College of Medicine, Seoul, Korea
기도 및 소화기 이물에 관한 임상적 연구
김병훈, 박의수, 최규종, 박종무
한양대학교 의과대학 소아과학교실
A clinical study was done in 127 patients, under the diagnosis of foreign body aspiration at Hanyang University Hospital from Feb. 1976 to Mar. 1981. 1) The preschool children (below the 6 years old) were prone to aspiration and it was more common in male (2.2:1 in the airway and 1.4:1 in the alimentary tract). 2) The most common kind of factor in the airway foreign was cow’s and mother’s milk (49.1%), and pencil cap, plant, botton in this- order. 3) The accident was the most common causative factor. 4) Foreign body of the airway was more frequently seen than the alimentary tract(1.3:l), and the most common site of the alimentary tract was the 1st narrowed portion of esophagus (82.9%). 5) Common clinical symptoms were cough(45.4%) dyspnea(40%) asphyxia (25.4%) diminished breathing sound(29.1%) chest ^retraction(25.4%) and coarse breathing sound (16.3%). 6) Within 24 hours, twenty-five(45.4%) cases of the airway foreign body and sixty-two cases(86.2%) of the alimentary tract were arrived to the hospital. 7) We performed the supportive therapy; 32 cases (58.4%) and endoscopic removal; 18 cases (32.5%) in the airway foreign body, and 85.5% of them were discharged by improved state. In the alimentary tract foreign body, supportive therapy; 4 cases(5.6%) and endoscopic removal; 68 cases(94.4%) were prescribed, and 96.6% of them were dischaged by improving state.
Key Words: Foreign body, Airway, Alimentary tract.

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