| Foreign Body in the Airway: A review of 71 patients. |
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In Sil Lee, Son Moon Shin, Jong Kook Lee, Yong Soo Yun, Hahn Woong Choe |
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Department of Padiatrics, College of Medicine, Seoul National University, Korea. |
| 소아기도 이물에 대한 임상적 관찰 |
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이인실, 신손문, 이종국, 윤용수, 최한웅 |
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서울대학교 의과대학 소아과학교실 |
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| Abstract |
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Seventy one children aged 3 months and 8 months with a foreign body in the airway were analysed. Most of the patients were less than 3 years of age, and male to female ratio 2.6:1. Most foreign bodies were food materials (58.2%), metallic bodies (20.9%) and plastic materials(13.4%). Of all the foreign bodies, 61 cases were lodged in the main bronchi and 3 cases were lodged in the larynx or trachea. Common symptoms and signs were cough, dyspnea, mild pyrexia, recurrent respiratory tract infection, decreased air entry, cyanosis and rales. The most common roentgenographic finding was obstructive emphysema (61.2%). A positive history of foreign body aspiration was obtained in 77.5% of the patients and it was found that carelessness of some sort is responsible in almost all the cases. Of the foreign bodies removed, 84.6% were done bronchoscopy. Direct laryngoscopy was performed in 4.6% of patients. Complications were involved in 19.7% of the cases with bronchoscopy. Three patients died of septic shock, asphyxia and hypoxic brain damage respectively. |
| Key Words:
Foreign body in the airway, Ventilating bronchoscopy |
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