대한기관식도과학회지 (Korean Journal of Bronchoesophagology)

대한기관식도과학회 (The Korean Bronchoesophagological Society)
권호 표지

기관지 내시경으로 초기에 제거할 수 없었던 기도 이물 : 2례 보고

The Two Cases of Initial Foreign Body Removal Failure Using Bronchoscopy

  • 김연수 (인제대학교 일산백병원 흉부외과학교실) ;
  • 남승연 (인제대학교 일산백병원 소아청소년과학교실) ;
  • 곽병곤 (인제대학교 일산백병원 소아청소년과학교실) ;
  • 장우익 (인제대학교 일산백병원 흉부외과학교실) ;
  • 박경택 (인제대학교 일산백병원 흉부외과학교실) ;
  • 김창영 (인제대학교 일산백병원 흉부외과학교실) ;
  • 류지윤 (인제대학교 일산백병원 흉부외과학교실)
  • Kim, Yeon-Soo (Department of Thoracic and Cardiovascular Surgery, Iisan Paik Hospital, College of Medicine, Inje University) ;
  • Nam, Seung-Yeon (Department of Pediatrics, Iisan Paik Hospital, College of Medicine, Inje University) ;
  • Kwak, Byeong-Gon (Department of Pediatrics, Iisan Paik Hospital, College of Medicine, Inje University) ;
  • Chang, Woo-Ik (Department of Thoracic and Cardiovascular Surgery, Iisan Paik Hospital, College of Medicine, Inje University) ;
  • Park, Kyung-Taek (Department of Thoracic and Cardiovascular Surgery, Iisan Paik Hospital, College of Medicine, Inje University) ;
  • Kim, Chang-Young (Department of Thoracic and Cardiovascular Surgery, Iisan Paik Hospital, College of Medicine, Inje University) ;
  • Ryoo, Ji-Yoon (Department of Thoracic and Cardiovascular Surgery, Iisan Paik Hospital, College of Medicine, Inje University)
  • 발행 : 2007.12.30
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초록

Foreign body aspiration is a cause of the accidental death at home. Therefore, early intervention and proper management is important. A bronchoscopy is indicated whenever there is a suggestive history and medical opinion. Occasionally, foreign body removal with bronchoscopy may be fail. But, on the situation, there is no definite recommended standard management. We experienced two cases of bronchial foreign body could not be removed with bronchoscopy at first intervention. The one was diagnosed too late. Endobronchial granulation tissue and edema made it impossible to find the foreign body at first bronchoscopy. After steroid and antibiotic therapy, foreign body could be removed with secondary bronchoscopy. Another was bronchial foreign body jammed tightly bronchus intermedius. Even after medical therapy, patient got aggravated. So foreign body was removed with bronchotomy.

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