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The Relation between Complication Rate and Period between Aspiration and the Time of Diagnosis in Patients with Bronchial Foreign Bodies
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- Reshad Khaled
- Reshad Clinic for Chest Diseases and Surgery
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- Hitomi Shigeki
- Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
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- Wada Hiromi
- Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
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- Inui Kenji
- Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
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- Ikushima Hirohiko
- Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
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- Ikeda Sadao
- Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
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- Kohno Keijiro
- Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
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- Fujio Akira
- Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
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- Kitano Morihisa
- Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
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- Osako Tutomu
- Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
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- Sumitomo Shinichi
- Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
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- Terada Yasuji
- Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
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- Kai Takayoshi
- Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
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- Miyamoto Yoshihiro
- Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
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- Takashima Yoshimitu
- Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
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- Yamanaka Akira
- Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
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- Miyamoto Nobuaki
- Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
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- Genga Keiichiro
- Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
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- Taki Toshihiko
- Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
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- Abe Ryuji
- Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
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- Kuwabara Masaki
- Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
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- Okada Hidehiko
- Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
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- Teramatsu Takashi
- Department of Thoracic Surgery, Chest Diseases Research Institute, Kyoto University
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Description
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.
Journal
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- The Journal of the Japan Society for Respiratory Endoscopy
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The Journal of the Japan Society for Respiratory Endoscopy 16 (5), 437-444, 1994
The Japan Society for Respiratory Endoscopy
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Details 詳細情報について
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- CRID
- 1390001204743817088
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- NII Article ID
- 110002818559
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- ISSN
- 21860149
- 02872137
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- Text Lang
- en
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed