• Title/Summary/Keyword: 기관지내 이물

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Middle Lobe Syndrome Caused by Occult Foreign Body in the Bronchus Intermedius -A case report- (중간기관지 내 잠복이물에 의할 중엽증후군 -1예 보고-)

  • Lee Seung-Jin;Oh Jae-Yoon;Lee Cheol-Sae;Lee Kihl-Rho;Lee Seock-Yeol
    • Journal of Chest Surgery
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    • v.39 no.6 s.263
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    • pp.498-501
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    • 2006
  • Occult bronchial foreign body is that long-standing foreign body lodge in bronchial tree. A 63-year-old male was admitted our hospital complaining of a cough. Chest computerized tomography and bronchoscopy showed collapse of right middle lobe and foreign body in the bronchus intermedius. After open thoracotomy and bronchotomy, foreign body was removed and collapsed middle lobe was ventilated. Herein we report a case of middle lobe syndrome caused by occult foreign body in the bronchus intermedius.

ENDOBRONCHIAL TUBERCULOSIS SIMULATING BRONCHIAL FOREIGN BODY (기관지이물과 유사한 기관지내 결핵)

  • 김수환;신민호;서병도
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1987.05a
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    • pp.16.3-17
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    • 1987
  • 기도이물의 진단 방법중 자세한 병력이 가장 중요하다는 것은 주지의 사실이다. 그러나 유소아에서는 부정확한 병력 때문에 기도이물의 진단에 어려움이 많아 보존적 치료를 계속하는 경우가 흔하다. 최근 저자들은 2명의 소아에서 장기간의 소아과적 치료에도 호전되지 않고 무기폐를 초래한 결핵성 기관지이물을 환기성 기관지경을 사용하여 제거함으로써 치유하였기에 문헌고찰과 함께 보고한다.

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Treatment of Occult Bronchial Foreign Body with 30-Year Retention - A case report - (30년간 잠복한 기관지 내 이물의 치험 - 1예 보고 -)

  • Choi, Jae-Sung;Kim, Eung-Joong
    • Journal of Chest Surgery
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    • v.41 no.5
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    • pp.667-670
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    • 2008
  • Occult bronchial foreign bodies are rare in adults, whereas tracheobronchial aspiration of foreign bodies occurs commonly in children. Treatment guidelines, according to the severity of the bronchial or lung parenchymal damage and the duration of foreign body retention, have not been established. A 40-year-old man with chronic cough, sputum production, and fever was transferred for treatment of right middle and lower lobe collapse and obstructive pneumonitis as evidenced by imaging studies. He had aspirated the cap of a felt-tipped pen 30 years before presentation, which was unrevealed until his medical history was carefully reviewed during this episode. The patient was treated with right middle-lower bilobectomy because fiberoptic bronchoscopic removal of the foreign body failed. This case added important information to our body of knowledge concerning the various clinical features of occult bronchial foreign bodies.

A Case of Bronchial Foreign Body Misdiagnosed as Bronchial Asthma (기관지천식으로 오인된 기관지내 이물 1예)

  • Lee, Byoung Jun;Lee, Young Woo;Jung, Jae Woo;Shin, Jong Wook;Kim, Jae Yeol;Park, In Won;Choi, Byoung Whui
    • Tuberculosis and Respiratory Diseases
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    • v.57 no.5
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    • pp.484-488
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    • 2004
  • In adults, aspiration of foreign bodies into tracheobronchus is sometimes presented atypically, mimicking chronic pulmonary diseases such as bronchial asthma, pneumonia, or empyema, especially without notice of aspiration or choking. In such cases, diagnosis and adequate treatments are often delayed. Suspicion of foreign body aspiration and computed tomography and bronchoscopic examination make correct diagnosis more early. We report a case of bronchial foreign body, which had been misdiagnosed as bronchial asthma with wheezing in the whole lung filed, and reversible airway obstruction in the spirometry.

Three Cases of the Foreign Bodies in the Trachea & Bronchus (최근에 경험한 기관 이물 3례)

  • 이용화;이동수;옥흥남;이선철
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1978.06a
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    • pp.3.5-4
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    • 1978
  • Foreign body in the trachea & bronchus is considered as one of the frequently observed accidental cases in the field of E.N.T. and many cases & analysis of them are reported by many authors. We have, recently, experienced three cases of the foreign bodies in the trachea & bronchus and removed successfully through bronchoscopy under general anesthesia. Case A : a kind of plastic reed (2.2CM$\times$0.8CM$\times$0.8CM) was removed from the carina of trachea of a 7 year old female. Case B: a nail (4.9CM$\times$0.3CM$\times$0.3CM) was removed from the right main bronchus of a 2 year old male. Case C : a kind of plastic reed (2.0CM$\times$0.8CM$\times$0.8CM) was removed from the right main bronchus of a 7 year old female.

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A recent case of an interesting foreign body in the bronchus (최근 본교실에서 경험한 흥미있는 기관지이물에 대하여)

  • 이양선;지중민;송재권;김정도
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1976.06a
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    • pp.89.1-89
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    • 1976
  • The foreign bodies in the food passage and airway are very important in the Otolaryngological field, and practically there are many reports of them. Also the kinds of these foreign bodies are variable and almost all things around us are likely to be foreign bodies by momentary mistake. According to kinds and locations, clinicians often make mistakes in diagnosis with other physical examination except endoscopy, so foreign body was impacted for a long time and sometimes it may bring a grave outcome to the patient. The authors have recently experienced, in a 13-year-old boy, a pink-colored plastic pencil cap in the right main bronchus which was very similar to the color and shape of the bronchial lumen, and so we had some difficulty in removal of it. This is the report of clinical findings on this case along with literature review.

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Bronchial Foreignbody after Right Lower Lobe Lobectomy (우측 폐 하엽 절제술 후 발생한 기관지 이물질)

  • Lee, Hyoung-Chae;Han, Il-Yong;Jun, Hee-Jae;Lee, Yang-Haeng;Hwang, Youn-Ho;Cho, Kwang-Hyun
    • Journal of Chest Surgery
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    • v.41 no.2
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    • pp.281-284
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    • 2008
  • Bronchial foreign bodies commonly occur through aspiration or inhalation. Here we present a very rare case of migration of a non-metallic foreign body into the bronchus 5 years after lobectomy. The foreign body, a Teflon pellet used to control parenchymal bleeding in the lung, was removed by a bronchofiberscope. Although the mechanism of migration remains unknown, our case and a previous Japanese case provide evidence that non-metallic foreign bodies can migrate from the lung parenchyma to the bronchus.

A CLINICAL REVIEW OF FOREIGN BODIES IN THE FOOD AND AIR PASSAGES (식도 및 기도 이물의 임상적 관찰)

  • 김광옥;이화식;조승호;김병우
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1987.05a
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    • pp.15.1-15
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    • 1987
  • 1980년 1월 1일부터 1986년 12월 31일까지 7년 동안 가톨릭의과대학부속 성모병원 이비인후과에 내원한 식도 및 기도이물환자 246명을 분석하여 다음과 같은 결론을 얻었다. 1) 식도 및 기도이물의 빈도는 4.5 : 1이었다. 2) 식도이물의 종류별 빈도는 주화가 55.2%로 가장 많았고 다음이 골편, 식품류 등의 순이었다. 기도이물에서는 콩류가 57.8%로 가장 많았고 첨단 철물류와 식품류는 다음으로 많았다. 3) 식도이물의 56.7%가 5세이하이었으며 주화 및 원반류는 5세 이하가 대부분이었다. 기도이물의 88.9%가 5세이하이었으며 콩류에서는 96.2%가 5세 이하이었다. 4) 식도이물은 남자가 58.7%로 여자보다 많았으며 기도이물은 남자가 82%로 여자보다 많았다. 5) 식도이물의 개재부위는 제 1협착부에 78.1%로 가장 많았으며 식품류는 제 2협착부에서 높은 빈도를 보였다. 기도이물에서는 기관지가 84.4%로 가장 많았고 좌우기관지별 이물의 비는 1 : 1로 같았다. 6) 이물의 개재기간은 식도이물이 1일 이내가 72.6%, 기도이물이 1일 이내가 17.8%이었다. 7) 기도이물의 흉부 X-선 소견은 폐쇄성 폐기종과 폐염이 각각 37.8%, 26.7%로 가장 많았다.

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Chronic Lhng Abscess Caused By Traumatic Bronchial Foreign Body(Wood) Persisting For 30 Years -A case report- (30년전 흉부외상에 의해 발생한 기관지내 이물(나무)과 이에 병발한 만성 폐농양 -1례 보고-)

  • Oh, Duck-Jin;Lee, Young;Lim, Seung-Pyeung;Yu, Jae-Hyun;Na, Myung-Hoon
    • Journal of Chest Surgery
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    • v.29 no.9
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    • pp.1040-1044
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    • 1996
  • A case with a bronchial foreign body(wood) which had an uncommon way of entry through a wound In the chest wall was described. A 41-year-old man was admitted to our hospital because of chronic cough and profuse purulent sputum. He had been injured by a fragment of wood which penetrated his anterolateral chest wall at 30 years ago. A chest x-ray film reavealed a calcific foreign body, measuring 3.0 by 1.0 cm, in the posterobasal segment of the left lung. Computed nomograp y of the chest demonstrated a calcific foreign body with bronchiectatic change near the diaphragmatic pleura In the left lower lobe. Left lower lobectomy was performed, and the patient remains well without any thoracic symptoms after the operation.

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AIRWAY FOREIGN BODY REMOVAL WITH FIBEROPTIC BRONCHOSCOPY (기도이물의 굴곡성 기관지경을 이용한 치료)

  • 강홍모
    • Korean Journal of Bronchoesophagology
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    • v.2 no.2
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    • pp.165-169
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    • 1996
  • 기도내 이물제거에 경직성 기관지경이 많이 이용되었으나 성인에서는 굴곡성기관지경을 이용하여 용이하게 시행할 수 있으며 다양한 기구를 사용하면 성공률을 높일 수 있다. 따라서 성인의 기도이물제거에 굴곡성기관지경을 우선적으로 사용할 수 있을 것으로 생각된다.

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