기도이물에 관한 임상적 고찰 = A Clinical Study of Foreign Body in the Larynx and Tracheobronchial Tree

다국어 초록 (Multilingual Abstract)

Aspiration of a foreign body in the airway is common cause of sudden obstructive breathing, crouping cough, hoarseness, and wheezing. Especially that caused serious problem in case of the young children. A past history of foreign body aspiration is itself an indication for bronchoscopic examination of the airway, because some children with aspirated foreign bodies are without symptoms and chest X-ray films may not show abnormalities. So the anesthesiologist should take a notice of removing foreign body in the anesthetic procedure.
The author have experienced 36 cases removal of foreign bodies in the airway under general anesthesia from July, 1982 to January, 1996 in Chunan Hospital, College of Medicine, Soonchunhyang University.
The results were as follows
1) Among the 36 cases, 25 cases(69.7%) were under the age of 5. The ratio of male and female was 1.8 : 1.
2) In duration of lodgement, there was most frequent within one day in 15
cases(41.7%) and the longest duration was 20 days.
3) The most common symptom, sign and auscultation finding were cough 19
cases(52.8%). chest retractions 7 cases(19.4%) and decreased breathing sound 20
cases(55.6%)
4) Abnormalities in the chest X-ray were found in 15 cases(41.7%) among 36 cases.
5) Vegetable foreign bodies, expecially peanut were the most common airway foreign body(28.7%), followed by plastic foreign body(14.4%) and mucous plug(11.3%).
6) The foreign body involved the right bronchus 16 cases(45.7), left bronchus 10 cases(28.6%), trachea 5 cases(14.3%), and larynx 4 cases(11.4%).
7) Foreign body induced complications occurred in 9 cases(25.0%); pneumonia 8 cases and pneumomediastinum 1 case, and all of postoperative complication was
pneumonia(25.0%).
8) 34 foreign objects(94.4%) were removed by endoscopy but tracheostomy was
required in two patients.