Korean Journal of Pediatrics 2004;47(4):399-404.
Published online April 15, 2004.
Values of Lung CT in Children with a Vague History of Aspiration
Myoung-Bum Choi1, Hyang-Ok Woo1, Jum-Su Kim1, Ji-Hyoun Seo1, Jae-Young Lim1, Chan-Hoo Park1, Jin-Jong You2, Hee-Shang Youn1
1Departments of Pediatrics, Gyeongsang National University College of Medicine, Jinju, Korea
2Departments of Diagnostic Radiology, Gyeongsang National University College of Medicine, Jinju, Korea
흡입 병력이 애매한 소아에서 폐 CT의 유용성
최명범1, 우향옥1, 김점수1, 서지현1, 임재영1, 박찬후1, 유진종2, 윤희상1
1경상대학교 의과대학 소아과학교실
2경상대학교 의과대학 진단방사선과교실
Correspondence: 
Hyang-Ok Woo, Email: howoo@nongae.gsnu.ac.kr
Abstract
Purpose
: The purpose of this study was to investigate the diagnostic value of spiral computed tomography (CT) using contiguous slices with partially thin sections around the hilar level in the bronchial foreign bodies of children with a vague history of aspiration.
Methods
: Fourteen children were identified to be examined with spiral CT due to obscure histories of aspiration episodes. A retrospective analysis of the medical records provided information concerning the clinical and radiological findings.
Results
: Of the 14 patients examined with spiral CT, there were no significant differences among the clinical and initial radiological findings with the exception of gender distribution. However, the spiral CT scans allowed accurate discrimination among patients with a vague history of aspiration episodes, in which seven were identified with bronchial foreign body aspiration and seven with bronchiolitis, asthma, tracheobronchitis and/or pneumonia.
Conclusion
: We found that spiral CT using contiguous slices with partially thin sections around the hilar level are a useful non-invasive method in the early diagnosis of bronchial foreign bodies in children with a vague history of aspiration.
Key Words: Bronchial foreign body aspiration, Diagnosis, Computed tomography(CT), High-resolution computed tomography(HRCT)


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