過去20年間の気道異物症例の検討

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タイトル別名
  • Retrospective Analysis of Tracheo-bronchial Foreign Bodies over the Past 20 Years
  • カコ 20ネンカン ノ キドウ イブツ ショウレイ ノ ケントウ

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Foreign bodies in the respiratory tract are highly dangerous and need to be treated immediately and appropriately by the otolaryngologist.<br>In our Department of Otolaryngology over the 20 years from 1981 to 2000, we treated 91 cases of tracheo-bronchial foreign bodies, an incidence of 4.6 cases per year. Two-thirds of patients were male, and 62.6% were 1 year old. Foreign bodies removed in 69.2% of patients were peanuts or other kinds of beans.<br>Initial symptoms were typically cough, stridor and cyanosis.<br>The pediatric department performed the initial examination of 50% of patients, and otolaryngologists initially examined only 13.2% of patients.<br>The accord rate between the unilateral decreased lung sound, emphysema, or atelectasis and the foreign body was high (80.6%, 67.6%, 90.0%).<br>Chest CT examination was useful to check for the presence of foreign body in the respiratory tract.<br>It is important for the otolaryngologist to enlighten society on the possible life-threatning danger of respiratory tract foreign bodies in infants.

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