| Clinical Study on Foreign body Aspiration and Aspiration Pneumonia. |
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Dong Soo Kim, Ki Choon Kim, Ki Young Lee, Duck Jin Yun |
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Department of Pediatrics, Yonsei University College of Medicine,Seoul, Korea |
| 소아의 이물흡인 및 흡인성폐염에 관한 임상적 고찰 |
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김동수, 김기춘, 이기영, 윤덕진 |
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연세대학교 의과대학 소아과학교실 |
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| Abstract |
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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%).
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| Key Words:
Foreign Body Aspiration, Aspiration Pneumonia |
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