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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 24(3); 1981 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1981;24(3): 303-7.
Foreign Bodies in the Air Passage in Infants and Children
Kyung Kyoon Oh, MD (Directed : Prof. Jin Young Kim, MD)
Department of Otolaryngology, College of Medicine, Seoul National University, Korea
幼小兒의 氣道異物
吳耕均 (指導 : 金鎭永 敎授)
서울대학교 의과대학 이비인후과학교실
ABSTRACT

Foreign body in the air passage is serious and sometimes fatal especially in the infants and children. The author experienced 62 cases of foreign body in infants and children. Forty-four were boys and 18 were girls. Most of cases (80.6%) were children under the age of 5. The major symptoms and signs were dyspnea, decreased breathing sound, cough, and wheezing. In 50%, the time that elapsed between the aspiration of the foreign body and the visit to the hospital was less than 24 hours. The findings of the initial chest X-ray were atelectasis or collapse (32%), emphysema (28%), foreign body shadow (20%), and within normal limits (16%). The variety of the foreign body was numerous, 56.5% of the cases were vegetables including peanuts and beans, 19.4% pointed metals, 17.7% plastics. The right main bronchus (41.9%) and the left main bronchus (27.4%) were the most common sites. The removal of the foreign body was performed by ventilation-bronchoscopy (80.6%), tracheostomy (3.2%), and thoracotomy (6.4%), The three of 62 cases (4.8%) were expired.

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