• Title/Summary/Keyword: 식도 내 이물

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A Case of Foreign Body in the Ethmoid Sinus (사골동 이물 1 증례)

  • 이경신;조순흠;구승룡;정채식;고광련
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1983.05a
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    • pp.17.3-17
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    • 1983
  • Foreign bodies in the paranasal sinuses are not commonly observed. Recently, we have observed an interesting case of metalic foreign body (a fragment of bullet) which remained in the posterior part of the left ethmoid sinus for about 30 years, and report here now with a review of literature.

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A Successful Management of an Esophageal Perforation Caused by Esophageal Foreign Body with a Non-operative Treatment in a Dog (개에서 식도 이물에 의한 식도 천공의 비침습적 치료를 통한 성공적 관리 증례)

  • Lee, Hyeon-Suk;Baek, Dae-Seung;Ju, Ho-Jong;Kim, Jun-Hwan;Hong, Yeon-Jung;Park, Jin-Ho;Cho, Ho-Seong;Park, Chul
    • Journal of Veterinary Clinics
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    • v.29 no.6
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    • pp.506-508
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    • 2012
  • A 5-year-old, intact female, Pomeranian was presented with a persistent vomiting for 5 days after swallowing a chicken bone. The dog was diagnosed with an esophageal foreign body, and a small perforation was found after the endoscopic removal of the chicken bone. The dog was determined to be treated with a non-operative management, and a complete closure of the perforation was confirmed by a flexible endoscopy 3 weeks after removal of a chicken bone. This paper reports the case of esophageal perforation caused by foreign body in esophagus managed with the non-operative therapy instead of surgical correction.

Foreign bodies in air passage in Children (소아의 기도이물에 관한 통계적 관찰)

  • 유장열;오경균;백만기
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1977.06a
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    • pp.8.5-9
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    • 1977
  • Foreign bodies in food and air passage, especially the latter in infants and children requires emergency treatment. The frequent symptoms are coughing, wheezing, and dyspnea, So may be confused as asthma, pneumonia and acute Laryngitis. The species and incidence of the foregin bodies are variable according to the age, method of life, environment and economic condition. The authors experienced 35 cases of foreign body in air passage during the period of last 3yrs which were treated by ventilating Bronchoscopy, and thoractomy in this hospital. One of them was lead to death. The authors analysed above cases and report with it's literature consideration. Results: 1. The prevalent foreign bodies were peanut, metal, food particles in order of frequency. 2. In frequent symptoms were dyspnea, coughing and wheezing in the order. 3. In the age incidence, 48% of the foreign bodies were 1∼5yrs. 4. In sex distribution, male to female ratio was 2.1: 1 5. In duration of lodgment, 65% of the foreign body were removed within 24hrs. 6. Most prevalent site of the foreign body was Rt. main bronchus Rt. to Lt. ratis was 2 : 1 was 7. Treatment was done; 25 cases were by ventilating bronchoscopy.

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Clinical Study on Laryngo - Microscopic Surgery For Vocal Nodules and Polyps (후두결절 및 폴립의 후두미세 수술에 관한 임상연구)

  • 문영일
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1983.05a
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    • pp.11.2-11
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    • 1983
  • Vocal nodules and polyps are much more frequent in singers, public speakers, teachers and actors. Voice trauma and voice misuse, at times associated with mild inflammatory reaction, appear to be important in their etiology. It is generally agreed that vocal cord nodules and polyps are inflammatory in nature and they arise in the subepithelial layer of loose connective tissue of the vocal cord. Since the junction of anterior and middle thirds of the membranous cord and has the greatest amplitude of vibration. This is the site of predilection for vocal cord nodules. The author performed laryngomicrosurgery for 70 cases of vocal nodules and polyps at Ewha Womans University Hospital during the period of 5 years. The result obtained were as follows ; 1) Surgical excision is not necessarily the best approach because vocal nodules in the early stages will resolve with the simplest voice therapy. 2) In children, surgery is rarely indicated because most nodules in children regress during adolescence. 3) For patients who use their voices professionally, voice therapy is indicated for three months. 4) If after three month of conservative treatment the cord lesion does not improve and the patient it still dissatisfied with his voice, laryngomicrosurgery can then be considered. 5) The small cuffed endotracheal tube in the interarytenoid space helps to keep the cords immobile and in an abducted position. 6) Removal of the nodule shoule be started by gentle retraction posteriorly and as soon as a tear appears anterior to the nodule. 7) On occasion it is preferable to start the dissection with a siccle knife while the nodule is held on the stretch. 8) Voice rest should be maintained for a week following which the free edges of the cords are usually healed.

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A Case of Esophageal Perforation and Mediastinitis complicated after Foreign Body Ingestion (식도천공 및 종격동염을 초래한 식도이물 1례)

  • 김무명;나기상;김광현;박찬일
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1981.05a
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    • pp.8.5-9
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    • 1981
  • Foreign body in the esophagus is not uncommon in the otolaryngological field and esophageal perforation followed by mediastinitis is one of the most serious complications. Authors had experienced such case developed in 69 year old female patient. This woman swallowed a piece of sharp glass accidentally. Severe pain and swelling around the neck developed after ingestion. Marked subcutaneous emphysema was noted on first examination. By esophagoscopy, longitudinal laceration at right lateral wall of the cervical esophagus was noted and a lot of food debries were removed through this perforation, but foreign body could not be found. On third hospital day, patient complained chest pain and dyspnea. Mediastinal widening was noted on chest P-A. Tracheostomy was performed on next day and neck swelling decreased much. In spite of massive antibiotics, mediastinal abscess was developed and external drainage was performed on 15th hospital day. She was discharged on 38th hospital day with marked improvement and recovered completely on follow-up study. Still, we do not know where the foreign body is located.

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A case of a bronchial foreign body (기관이물 1례)

  • 장인원;김종영;김성곤;권령춘;양한모
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1976.06a
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    • pp.89.3-89
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    • 1976
  • This is a case of a left lower bronchial foreign body in a 11 years old boy. This boy was admitted to E.N.T. clinic, Chonnam University Hospital with the complaints of paroxysmal attack of cough and dyspnea for 45 days. He had been treated at a local clinic under the diagnosis of active pulmonary tuberculosis, however, no significant response was achieved by the treatment. The chest X-ray film showed atelectatic shadow, however, no density of suspicious foreign body was observed. On the clinical points of view and the patient's history, bronchoscopy was carried out under the general anesthesia and a plastic gun bullet was removed from the left main bronchus. The boy was discharged from the hospital with good aeration of the left entire lung field and good recovery.

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The Clinico-Statistical Analysis of Dysphagia (연하곤란을 주소. 내원한 환자의 임상통계적 고찰)

  • 윤태현;선우대활;고건성;김진영
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1978.06a
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    • pp.6.1-6
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    • 1978
  • Dsysphagia or difficulty in swallowing is a symptom wich indicates the presence of disease or dysfunction. Because the cause & the original site are variable, it is significant to study the clinicostatistical analysis on 133 cases with complant of dysphagia during the last one year in the department of Otolaryngology, College of Medicine, Seoul National University. The results are as follows; 1) Among the total O.P.D. patients (6313 cases), patients complaining the dysphagia are 2.1%. 2) Male to female sex ratio is 1. 3 to 1, slightly predominent in male and average are 35.7 years. 3) The duration of chief complaint is about 251 days in average, but excluding the 8 cases with more than year of symptom, it is about 40 days. In detailed analysis of the duration; 67 cases (50.4%) occurred within 1 weak: 24 cases (18.0%), 1 week to 1 month: 34 cases (25.6%), 1 month to 1 year: 8 cases (6.0%), more than 1 year. 4) As to the site of origin, the oropharyngolaryngeal origin 106 cases (76.7%) are 4 times as many as the esophageal origin 27 cases (20.3%). 5) As to the etiological classification: inflammation 67 cases (50.4%), tumor 28 cases (21.0%), corrosive agent 14 cases (10.5%), foreign body 11 cases (8.3%) in order. 6) As to the disease entity: pharyngitis and tonsillitis 42 cases (31.6%), stomatitis 14 cases (10.5%), corrosive esophagitis 14 cases (10.5%), laryngeal tumor 12 cases (9.0%), peritonsillar abscess 9 cases (6.8%), esophageal foreign body 7 cases (5.2%), tongue tumor 7 cases (5.2%), tonsillar tumor 6 cases (4.5%), (pharyngeal foreign body 4 cases (3.0%)in order.

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배관 세척장치의 성능평가

  • 조정식
    • 월간 기계설비
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    • s.119
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    • pp.71-83
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    • 2000
  • 점차 복잡해지고 있는 사회적 욕구를 만족시키기 위한 건물에서는 반드시 복잡한 설비가 요구되고 있고, 이러한 설비시스템 중에는 급수, 급탕 및 배수설비라고 하는 배관시스템이 없다면 기능유지에 막대한 지장을 초래할 것은 자명하다고 하겠다. 이러한 배관시스템에서는 항시 또는 일부 사용되어질 물이나 사용된 물이 흐르기 때문에 배관내부에 발생하는 스케일(scale)이나 슬라임(slime) 등은 피할 수 없는 사실인 것이다. 건축물 내에 설치된 각종 배관은 건물의 기능을 유지하고 보건위생과 직결되는 중요한 기능을 담당하고 있어 세척의 필요성이 매우 높음에도 불구하고 배관의 수명이 다할 때까지 거의 세척이 이루어지지 않고 사용되어 왔다. 이들 배관에 대한 세척은 배관의 수명연장과 관마찰 계수를 낮추어 급수의 수송동력을 절감할 수 있고, 난방관의 열전달 효과를 높여 에너지 절약 효과를 거두어 건물의 유지관리 비용 절감에 기여할 수 있음에도 적절한 세척공법이 개발되지 않고 있다. 이러한 관점에 맞추어 건물배관의 특성에 맞도록 고압 세척장치를 개발하고 이를 이용한 세척공법을 적용하고자 하였다. 즉, 배관 내에 압축공기를 주기적으로 분사하여 맥동현상이 일어나도록 하면서 기포를 발생시켜 기포가 관의 내벽에서 성장하여 파괴될 때 관내에 부착된 이물질을 제거할 수 있고, 또한 세척효과를 높이기 위하여 관의 벽면에 접촉하면서 배출되는 과정에서 이물질을 제거할 수 있도록 구조와 아울러 이들 장치를 이용한 세척방법의 적용성에 대해서 고찰하고자 한다.

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치과이식을 위한 성공적인 임프란트 시술 - Implant를 성공시키는 요점 -

  • Ji, Gwang-Won
    • The Journal of the Korean dental association
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    • v.25 no.8 s.219
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    • pp.735-739
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    • 1987
  • implant라는 것은 생리학적으로 생체에 있어서 이물이라는것을 인식해야 한다. 또 그 일부를 상부구조물을 제작하기 위하여 구강내에 노출시킴으로써 연조직과의 접촉부위가 감염으로 염증상태를 지속하고 있다. 그뿐아니라 저작시에 교합압에 의한 위격으로 골내에 여러 가지 변화를 일으킨다. 이와같이 생체내에 이물를 implant 하였을 때 생기는 반응은 생체의 방어기전으로서 염증을 일으키는데 이 염증의 진도에 따라 동화, 흡수, 배제중의 어느 하나로 결말짓게 된다. 따라서 implant를 시술하였을때 생기는 조직의 반응을 최소한으로 감소하기 위한 생물학적 적응조건으로서 재료, 약물, 기구, 시술방법 등을 잘 선택하는 것이 implant의 임상응용에 요절이 되는것이다. implant의 종류는 실로 다양다종이다. 그러나 어떤 implant와 시술방법을 선택하든지 악골에 접착, 또는 식위하여 견고하게 장착되어 그 implant된 자체를 통하여 가장 천연치에 가까운 기능을 얻는것이 implant의 시술목적이다. 임상의가 implant를 시술하면서 이것이 과연 성공할것인가? 즉 저작효율과 내구연한이 얼마나 갈것인가 우려하지 않을수 없다. 그러므로 그 우려를 덜고 성공으로 이끄는 임상상의 문제점을 찾아 논하기로 한다.

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