Foreign Bodies in the Air Passages. A Review of 14 Cases.

概要

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From 1992 to 1996, we have experienced 14 cases with tracheo-bronchial foreign bodies. 8 of these were males (57%), and the age of 9 cases (64%) was under 2 years. Foreign bodies were found in the right bronchus in 9 cases, and in the left bronchus in 4 cases, and in the larynx in one case. The most common foreign body was a peanut (6 cases). 8 out of the 14 cases were treated by means of ventilation bronchoscopy under general anesthesia. In 8 out of the total 14 cases, the presence of a foreign body was clearly determined. In 3 cases, foreign body was revealed by chest X-rays, in 4 cases foreign body was detected by digital subtraction fluorography, and one case was seen under the vocal cord with the fiberscope. We were convinced of the presence of foreign bodies in 4 other cases, because of the fact that pneumonia, atelectasis, pulmonaly emphysema and check valve sign were found in the chest X-rays. Although we could not identify the presence of a foreign body in 2 cases, we performed an operation because the patients' respiratory conditions were poor. Whenever we doubted the presence of a foreign body from the signs and symptoms, we should conduct an operation even if the presence of them could not be confined.
特定非営利活動法人日本気管食道科学会の論文