Ventilation Bronchoscopeにより摘出した気道

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書誌事項

タイトル別名
  • Removal of Foreign Bodies in the Airway by Means of the Ventilation Bronchoscope
  • Ventilation Bronchoscope ニ ヨリ テキシュツシタ キ
  • analysis of 100 cases
  • 異物100症例の統計的観察

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抄録

By means of the ventilation bronchoscope under general anesthesia; 100 cases of foreign bodies in the airway were treated on our department during past 10 years.<BR>We concluded that this method is safe and useful enough for the removal of the foreign bodies through the analysis of these cases.<BR>Male to female ratio in our cases was about 2 to 1 and this was the similar ratio reported in other papers.<BR>The youngest patient was 6 months old and the oldest was 78 years old. 69 cases of these cases were under 3 years of age.<BR>The radioparent foreign body was found in 83 cases and 48 cases of which were the peanuts.<BR>Concerning the site of lodgement of the foreign bodies, an interesting result was obtained that the left bronchus was more frequently invaded than the right in the group of the cases under 6 years of age, while the right bronchus lodgement was predominant in number in the group of the whole cases.<BR>This tendency was further remarkable in the cases of peanuts the foreign body, so some discussions were given about this statistic results.<BR>The advantages and disadvantages of upper and lower bronchoscopy were also discussed respectively and several attentions which should be paid at the time of removal were described.<BR>98 cases were treated by the first or second trial of removal.<BR>One of two other cases suffered from severe pneumonia immediately after the foreign body removal (several pieces of chestnut). In spite of the emergency tracheotomy, this patient died of sudden cardiac failure.<BR>The foreign body (a small plastic bullet) of the second case was removed by thoracotomy, because its lodging portion was too peripheral (B9) to remove with the smallest bronchoscope.

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