All issues > Volume 24(4); 1981

Original Article

J Korean Pediatr Soc. 1981;24(4):343-351. Published online April 15, 1981.

Clinical Study on Foreign body Aspiration and Aspiration Pneumonia.

Dong Soo Kim, Ki Choon Kim, Ki Young Lee, Duck Jin Yun

¹Department of Pediatrics, Yonsei University College of Medicine,Seoul, Korea

Abstract

A clinical study was done on 177 cases of inpatients, who had been admitted under the diagnosis of aspiration pneumonia and foreign body aspiration at the Department of Pedia-trics, Yonsei University College of Medicine from Jan. 1965 to Dec. 1977. The results were obtained as follows: 1)Children below 5 years old(59.3%) are prone to aspirate and it is more common in males than in females (1.7 : 1). 2)Milk (58.1%) was the most common kind of the aspirated fluid and peanut (26.7%) was the most common kind of the aspirated foreign bodies. 3)Chest X-ray revealed that pneumonic consolidation (87.3%) especially located in right tipper lung field (42. 6%) was the most common picture in the aspiration syndrome and obst~ ructive emphysema (31.9%) was the most common picture in the foreign body aspiration. 4)The most common causative factor was the simple feeding difficulty (40.7%). 5)The most common clinical symptoms and signs were dyspnea (66.1%), cough(32.8%), asphyxia (31. 0%), moist rales (43.6%), coarse breath sound (33.3%), and decreased air entry (26.9%). 6) The history, clinical symptoms, and chest X-ray were the utmost important in diagnosis (66.7%). 7)The location of the foreign body were found commonly in the right and left bronchus (35.2% in each). 8)In the most cases, the time that elapsed between the inhalation of the foreign materials- and the arrival to the hospital was less than 24 hours (54, 2%). 9)The medical care was prescribed in (69.5%) of the patiens and bronchoscopy was done in 30.5% of the patients. 10)Motality of the patients with aspiration syndrome (23.1%) was higher than that of the patients with foreign body aspiration (3.3%).

Keywords :Foreign Body Aspiration, Aspiration Pneumonia