이물질 섭취 및 흡인 소아환자의 엑스선 영상 평가

Evaluation of Radiography of Ingested and Aspirated Foreign Bodies in Pediatric Patients

  • 권대철 (신한대학교 바이오생태보건대학 방사선학과) ;
  • 최지원 (전주대학교 방사선학과)
  • Kweon, Dae Cheol (Department of Radiological Science, College Bioecological Health, Shinhan University) ;
  • Choi, Jiwon (Department of Radiological Science, Jeonju University)
  • 투고 : 2018.09.03
  • 심사 : 2018.10.29
  • 발행 : 2018.12.31

초록

The purpose of this study was to introduce the radiography for the natural course and clinical diagnosis of foreign body ingestion and aspiration, to help diagnosis and treatment, to evaluate the accuracy of radiographic images of pediatric patients. A 2 to 7 year-old patient who ingested a foreign body was ingested and aspirated with foreign substances such as coin, cloth pin, earring, baduk stone, and hairpins, and chest and abdomen of the plain radiography. The pediatric patient who ingested and aspirated the foreign body of the coins, the clothespins, the earrings, the stones, and the hairpins were examined by chest and abdomen of the plain radiography and fluoroscopic images. The radiography examination can be combined to effectively cope with the treatment and the treatment of the foreign substance removal. It can be applied to the diagnosis of foreign body in pediatric patient's clinic and appropriate treatment and treatment direction.

키워드

참고문헌

  1. Butterworth J and Feltis B. 2007. Toy magnet ingestion in children: revising the algorithm. J. Pediatr. Surg. 42(12):e3-e5.
  2. Cha KM, Kim SW, Kim JH, Oh SH, Choi SM, Choi KH and Cho SP. 2014. The characteristics and outcomes of foreign body aspiration and ingestion in pediatric patients who visit an emergency department. J. Korean Soc. Emerg. Med. 25(1):79-83.
  3. Choi ES, Lee HG, Choi JN and Chun SY. 2014. Clinical Analysis of Foreign Bodies in Gastrointestinal Tract in Children. J. Korean Assoc. Pediatr. Surg. 20(1):12-16. https://doi.org/10.13029/jkaps.2014.20.1.12
  4. Karakoc F, Karadag B, Akbenlioglu C, Ersu R, Yildizeli B, Yuksel M and Dagli E. 2002. Foreign body aspiration: what is the outcome? Pediatr. Pulmonol. 34(1):30-36. https://doi.org/10.1002/ppul.10094
  5. Kim HY, Kong SG and Park HJ. 2009. Foreign body aspiration in children: 30-years experience in a single institution. Pediat. Allergy Respir. Dis. 19(4):383-391.
  6. Panieri E and Bass DH. 1995. The management of ingested foreign bodies in children a review of 663 cases. Eur. J. Emerg. Med. 2(2):83-87. https://doi.org/10.1097/00063110-199506000-00005
  7. Pugmire BS, Lim R and Avery LL. Review of ingested and aspirated foreign bodies in children and their clinical significance for radiologists. 2015. Radiographics: a review publication of the Radiological Society of North America, Inc. 35(5):1528-1538. https://doi.org/10.1148/rg.2015140287
  8. Shubha AM and Das K. 2009. Tracheobronchial foreign bodies in infants. Int. J. Pediatr. Otorhinolaryngol. 73(10):1385-1389. https://doi.org/10.1016/j.ijporl.2009.06.021
  9. Spector J and Fernadez WG. 2008. Chemical, thermal, and biological ocular exposures. Emerg. Med. Clin. North Am. 26(1):125-136. https://doi.org/10.1016/j.emc.2007.11.002
  10. Uyemura MC. 2005. Foreign body ingestion in children. Am. Fam. Physician. 72(2):287-291.
  11. Wagoner MD. 1997. Chemical injuries of the eye: Current concepts in pathophysiology and therapy. Surv. Ophthalmol. 41:275-313. https://doi.org/10.1016/S0039-6257(96)00007-0
  12. Webb WA. 1995. Management of foreign bodies of the upper gastrointestinal tract: update. Gastrointest. Endosc. 41(1):39-51. https://doi.org/10.1016/S0016-5107(95)70274-1
  13. Wyllie R. 2006. Foreign bodies in the gastrointestinal tract. Curr. Opin. Pediatr. 18(5):563-564. https://doi.org/10.1097/01.mop.0000245359.13949.1c