The Relation between Complication Rate and Period between Aspiration and the Time of Diagnosis in Patients with Bronchial Foreign Bodies

DOI 被引用文献5件
  • Reshad Khaled
    Reshad Clinic for Chest Diseases and Surgery
  • Hitomi Shigeki
    Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
  • Wada Hiromi
    Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
  • Inui Kenji
    Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
  • Ikushima Hirohiko
    Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
  • Ikeda Sadao
    Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
  • Kohno Keijiro
    Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
  • Fujio Akira
    Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
  • Kitano Morihisa
    Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
  • Osako Tutomu
    Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
  • Sumitomo Shinichi
    Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
  • Terada Yasuji
    Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
  • Kai Takayoshi
    Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
  • Miyamoto Yoshihiro
    Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
  • Takashima Yoshimitu
    Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
  • Yamanaka Akira
    Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
  • Miyamoto Nobuaki
    Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
  • Genga Keiichiro
    Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
  • Taki Toshihiko
    Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
  • Abe Ryuji
    Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
  • Kuwabara Masaki
    Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
  • Okada Hidehiko
    Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
  • Teramatsu Takashi
    Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University

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説明

Although rarely considered in series of lower airway foreign bodies, can cause chronic cough, hemoptysis and even death in some cases. Eighty cases of endobronchial foreign bodies, treated in 20 related centers were reviewed. The averaged age was 35.5 years, ranged from 2 months to 93 years with a peak number seen in 1∿4 years aged group and 60∿79 years old group. Clinical symptoms varied from none to severe respiratory distress, cerebral disturbance, and even death on arrival. Atelectasis of one lobe or one lung was a common sign appearing on chest X-ray in children, and normal findings or the presence of foreign body (FB) were seen in elderly patients. Concerning the type of FBs food totaled 50%, dental crowns 16%, and toys 11%. Approximately one-third of all patients visited the medical centers within an hour, while 14% of aspired FBs were detected only after 12 weeks due to patients' delay. Complication rate increased in relation to delay of visiting the medical centers and a late diagnosis. Regarding the treatment, one-half of the FBs were removed by flexible bronchoscope, with a median procedure time of 35 minutes. Ventilating bronchofiberscope was used in 19%, mostly in children. Eleven cases needed surgical resection, indicated to secondary pulmonary abscesses in 3 cases, empyema in one and hemoptysis or other morbid situations in 7 cases. Consequently, early observation and treatment by flexible bronchoscopy in cases of bronchial foreign bodies was of great value.

収録刊行物

  • 気管支学

    気管支学 16 (5), 437-444, 1994

    日本呼吸器内視鏡学会

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