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KMID : 0602820060120020026
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Korean Journal of Bronchoesophagology
2006 Volume.12 No. 2 p.26 ~ p.30
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Clinical Analysis for 120 Cases with Pediatric Airway Foreign Bodies
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Cha Won-Jae
Hah Jeong-Hun
Sung Myung-Whun
Kim Kwang-Hyun
Choi Hyo-Geun
Moon Sung-Joong
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Abstract
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Backgroud and Objectives: Inhalation of foreign bodies in respiratory tract can be fatal to infants and child. After ventilating bronchoscopy technique was widelyused, most of the pediatric airway foreign bodies could be managed effectively. In this study, we aimed to analyze clinicalfeatures and outcomes of ventilating bronchoscopic removal of pediatric airway foreign bodies.
Materials and Methods: One hundred twenty cases of ventilating bronchoscopy for pediatric airway foreign bodies at Seoul National University Hospital for the past 15 years were analyzed retrospectively.
Results: In 120 cases, sex ratio (male: female) was 2.2:1 and mean age was 27.0 months. Most frequent type of airway foreign was peanut (60.2%). One hundred thirteen patients, in whom a foreign body was confirmed in the airway, were successfully managed by ventilating bronchoscopy. Delayed diagnosis and management made a significantly long postoperative hospital stay.
Conclusion: Great care must be given when feeding young children, especially younger than 36 months, with nuts. Early intervention with ventilating bronchoscopy following a clinical suspicion is critical to successful treatment.
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KEYWORD
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Foreign body, Airway, Ventilating Brochoscopy
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