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KMID : 0378019740170101401
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New Medical Journal
1974 Volume.17 No. 10 p.1401 ~ p.1408
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A Statistical Study of the Foreign Bodies in the Esophagus and Air Passages and its Nursing Care.
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Abstract
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From march 1969 to Feb. 1974, a period of 5 years, A study in the ENT department at the Presbyterian Medical Center in Chenju shows that there 28 cases of foreign bodies in the trachea and 36 cases in the esophagus.
The results were as follows:
1. Since the total number of foreign bodies in the trachea was 28 and 36 in the esophagus, the ratio was 1:1.3.
2. In both cases the study shows that male cases exceeded female; 1.8:1 in the trachea 2.3:1 in the esophagus.
3. According to age, the following facts are revealed. 71.4% of the foreign bodies in the tracbha were in children under 5 yrs. old and 77.8% of the esophagus cases. 11. 1% in the esophague were in patients over 51 yrs old.
4. Foreign bodies in the trachea were as follows; beans 21.4%, pieces of shell 10.7%, fish bones 7.1%. Foreign bodies in the esophagus were; coins 55.6%, Iron pieces 8.3%, chicken bones 5.6%.
5. The distribution of cases by area is as follows; Of the trachea cases 50% were from the myun office area, 28.6% were from the city area, 21.4% were from the eub area. Of the esophagus cases 47.2% were from the myun office area, 41.7% were from the city area, 11. 1% were from the eub area.
6. 53. 6of the foreign bodies in the trachea patients came for treatments within 1 4y; 28.6% in 2-3 days; it was very rare for anyone to wait more than 4 days. In the esophagus` cases 30. 5% came within 1 day; 38.9% waited 2-3 days; and 11. 1% waited more than 10 days.
7. The admission time required was as follows; 25% of the trachea cases required 1-2 days, 21.4
required 3-4 days, and 50% of the esophagus cases required 3-4 days.
8. During admission the symptoms were as follows; 96.5% of the trachea cases had dyspnea, 25% had coughs, 14.3% had swallowing disturbances, 10.7% had hoarsness, and 10.7% had fever. In the esophagus cases the following syraptems were noted; swallowing disturbance 55.6´% vomiting 38.9% and fever 26%.
9. Of the traches cases 2 patients(7.1%) had complications, of esophagus cases 2 patients(5.6%) had complications. Of the trachea cases4 (14.3%) of the patients died.
10. In the trachea cases 60.7% were removed by laryngoscopy, 49.3% by bronchoacopy. Among these 53. 6% needed tracheotomy. In the cases of esophagus 97. 2% were removed by esophagoscopy. All of these were treated by antibiotics.
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