• 제목/요약/키워드: foreign cases analysis

검색결과 452건 처리시간 0.026초

의증 유소아 기도이물의 임상적 고찰 (Clinical Analysis of Suspected Airway Foreign Bodies in Infants and Children)

  • 안병훈;송달원;최용식;박기철;이근양;김중강
    • 대한기관식도과학회지
    • /
    • 제3권1호
    • /
    • pp.84-93
    • /
    • 1997
  • The bronchoscopy is usually performed in the patients who present symptoms of wheezing, hemoptysis, signs of airway obstruction, unexplained long-term chronic cough with or without radiologic features of pneumonia, emphysema or atelectasis. The symptoms and signs of cases of suspected airway foreign body are of often cofused with those of asthma pneumonia and other respiratory tract disease. The ventilating bronchoscopy will be helpful for removal of certain foreign bodies as well as alleviating medically-unresponsive bronchopulmonary conditions via removing abnormal secretions or merely improving ventilation. The authors have performed clinical analysis of 59 patients who were suspected of airway foreign bodies and treated by ventilating bronchoscopy from September 1985 to February 1995. The results were as follows: 1) Among the 59 cases of bronchoscopy, 51 cases(97%) were under the age of 3. The ratio of male and female was 2.69:1 2) Most common presenting symptom was coughing(84.7%) followed by dyspnea, fever, wheezing and anterior chest pain. 3) Among 39 cases of identified foreign bodies, abnormal findings in the chest X-ray films were found in 33 cases(84.6%) and most common abnormal radiologic feature was pneumonia in 10 cases(25.6%) followed by combination of pneumonia and emphysema, or emphysema alone. All the 20 cases of absent foreign body presented abnormal radiologic features and common findings were pneumonia and atelectasis. 4) Vegetable foreign bodies were the most common form of removed airway foreign bodies(69.2%) followed by metallic foreign bodies(12.8%) and plastic foreign bodies(7.7%). 5) By distribution of the location of foreign bodies, 29 cases(74.4%) were located in the main bronchus( 16 cases of right side and 13 cases of left side), 8 cases were in the trachea and 2 cases were found at the cordal level. 6) By duration of foreign body lodgement in the airway, 9 cases(23.1%) were removed within 7 to 30 days, 10 cases(5.6%) within 3 days and 5 cases(12.8%) were enlodged over 30 days. 7) In the cases of absent foreign bodies, common bronchoscopic findings were mucopurulent or thick mucoid discharge in the main bronchi, erythema or edema of bronchial mucosa and all the cases were improved after ventilating bronchoscopy with concomitant medical management.

  • PDF

식도 및 기도이물의 통계적 고찰 (A Clinical Study of Foreign Bodies in the Food and Air Passages 12-Year Review of 285 cases)

  • 안재신;원유성;서병도
    • 대한기관식도과학회:학술대회논문집
    • /
    • 대한기관식도과학회 1993년도 제27차 학술대회 초록집
    • /
    • pp.79-79
    • /
    • 1993
  • 식도 및 기도이물은 이비인후과 영역에서 비교적 흔히 볼 수 있는 질환의 하나로 이물은 대부분 돌발적 사고와 부주의에 의해 발생하며, 이물의 종류, 빈도, 성격 등은 일상생활과 밀접한 관계를 가지고 연령, 성별, 민족 등에 따라 다양하다. 식도 및 기도이물은 내시경적 방법으로 쉽게 치유되지만 진단과 치료가 지연되거나 기도 이물인 경우 심각한 합병증을 일으킬 수 있으므로 응급을 요하는 경우가 많고 이물의 종류, 개재부위, 이물의 상태 등에 따라 수술적 방법이 요구되는 경우도 있어 이비인후과 영역에서 중요한 질환으로 여겨져 왔으므로 이에 관하여 많은 문헌이 발표되었다. 저자들은 1980년 11월부터 1992년 10월까지 만 12년간 강남성모병원 이비인후과에서 경험한 식도 및 기도이물 285례를 대상으로 임상적 통계적 고찰을 시행하였다.

  • PDF

청주지역의 이비인후과영역의 이물에 대한 임상통계 (A Clinical Analysis of Foreign Bodies in the ENT Field in Cheongju Area)

  • 추무진;김종욱;양승덕;최영석;신시옥
    • 대한기관식도과학회지
    • /
    • 제1권1호
    • /
    • pp.116-121
    • /
    • 1995
  • The foreign bodies in the ENT field are very common disease. The kind of foreign bodies are closely related with our life style and was represented according to culture, habit, and economical status. We analyzed retrospectively 272 cases with foreign bodies in the upper aerodigestive tract and the external auditory canal which were diagnosed and managed at the Department of Otolaryngology Chungbuk National University from Jan. 1992 to Dec. 1994. We could divided 272 cases to the three groups; Group I was 212 cases(77.9%) that the patients had foreign bodies in the external auditory canal, nasal cavity, and pharynx which didn't need to be admitted, Group II was 57 cases(22%) that the patients had esophageal foreign bodies, and Group III was 3 cases(1.1%) that the patients had bronchial foreign bodies. The most prevalent age group was under 5 years old(32.3%). The overall ratio of male and female was 1.24 : 1, and the overall ratio of urban and rural ratio was 2.31 : 1. The ratio of esophageal foreign bodies and bronchial foreign bodies was 19 : 1. The incidence of sorts of foreign bodies in Group I was fish bone(41.07%), insect(25.9%), plastic bullet(8.0%), in order of frequency. The locations of foreign bodies in Group I was external auditory canal(36.8%), the tonsil(26.9%), nasal cavity(17.0%), tongue base(10.4%) in order of frequency. The incidence of sorts of foreign bodies in Group II was coin(49.1%), chicken bone(17.5%), fish bone(15.8%), in order of frequency. The main location of foreign bodies in Group II was the first narrowing(78.9%). In the Group III, the foreign bodies were corn, peanut, and apple. One patient who was arrived too late was died.

  • PDF

유소아 기도이물에 대한 임상적 고찰 (Clinical Analysis of Airway Foreign Bodies in Children)

  • 정명현;김영호;강상훈
    • 대한기관식도과학회:학술대회논문집
    • /
    • 대한기관식도과학회 1993년도 제27차 학술대회 초록집
    • /
    • pp.78-78
    • /
    • 1993
  • 저자들은 1980년부터 1992년까지 세브란스병원 이비인후과에서 기관지경술을 시행하여 기도이물로 확진되었던 유소아환자 124례에 대한 분석을 시행하여 유소아 기도이물의 임상적 특성을 추시해보고자 하였으며 다음과 같은 결과를 얻었다. 1) 발병연령은 대부분(77%)이 2세 미만이었으며 최저연령은 2개월이었다. 2) 이물은 콩 종류가 가장 많은 빈도(52%)를 차지하였다. 3) 이물의 게재 위치는 자측기관지가 가장 많았으며(49%), 우측기관지(37%), 기관(14%)의 순이었다. 4)가장 빈번한 흉부방사선학적 검사소견은 폐쇄성 폐기종이었다. (60%) 5) 이물의 제거는 흡인후 일주일 이내(66%)가 가장 많았으며 1개월 이상 게재된 예(13%)도 있었다. 6) 124례 전례에서 환기형 기관지경술로 특별한 합병증없이 제거가 가능하였다. 이상의 결과로 일반적으로 알고있는 것과는 달리 좌측기관지에 더욱 호발하는 것을 알 수 있었고, 2세 미만의 유소아에게는 콩종류의 간식을 피하는 것이 좋을 것으로 생각되었다.

  • PDF

A Space Analysis for Comprehending the Characteristics of Eco-Friendly Exterior Space at Elementary Schools - Focusing on Foreign Cases -

  • Sung, Lee-Yong;Jeong, Hee-Woong
    • KIEAE Journal
    • /
    • 제17권5호
    • /
    • pp.15-23
    • /
    • 2017
  • Purpose: The purpose of this study is to suggest a proper plan about the exterior space of elementary school in Korea through analyzing the various factors of the exterior spaces in foreign elementary school case. because the foreign cases have diversified eco-friendly certification standards on the elementary school unlike Korean cases. Method: First, we review the recent eco-friendly research trends of elementary schools and the external space characteristics of elementary schools that are currently being studied through related literary surveys, And we review the korean criteria factor for eco-friendly certification, we draw the types of exterior space thorough analysis framework, using the korean criteria factor. Second, the foreign cases of the elementary school were chosen, and then some planning data such as architecture scheme, design concepts and drawings will be collected. So the data were analysed and then the characteristics of physical setting and eco-friendly certification standards will be drawn. Third, We analyzed the characteristics and factor of physical and eco-friendly of exterior space through the drawn types. Result: The various physical settings are appeared physical environment. when we analyzed certification factors at korean eco-friendly standards, the suggestion and guide about the eco-friendly elements than the numerical goals were treated importantly in Korea.

국내외 패션삭스의 디자인 경향 (Design Trends of Domestic and Foreign Fashion Socks)

  • 반서남;김지영
    • 패션비즈니스
    • /
    • 제18권1호
    • /
    • pp.101-117
    • /
    • 2014
  • The purpose of this study is to investigate domestic and foreign fashion sock design trends and suggest a proposal for competitive fashion sock design developments. The methods of this study are undertaken by literature review and design trend analysis. For the design trend analysis, in the case of domestic cases, 209 pictures from 7 brands, and in the case of foreign cases, 870 pictures from 10 brands are being chosen. In terms of analysis criteria, the colors, patterns, lengths and images of both the domestic and foreign socks are being compared. As a result, among the fashion foreign socks, more than 4 colors are the most common, and dark & dark grayish, strong & deep color tones are the most popular. Also, the stylized, geometrical patterns, and casual, cute and unique images are generally used. In the case of domestic fashion socks, 2 colors are the most common with vivid, strong & deep color tones as the most popular. Furthermore the patterns are limited to geometric patterns, and the images of socks are inclined to be too casual. To enhance the competitiveness of Korean sock designs, the variety of patterns and images are essential.

기관 및 기관지이물의 합병증 (Complications of Tracheal and Bronchial Foreign Bodies)

  • 강일태;신기철;김종선;김홍기
    • 대한기관식도과학회:학술대회논문집
    • /
    • 대한기관식도과학회 1982년도 제16차 학술대회연제순서 및 초록
    • /
    • pp.8.3-8
    • /
    • 1982
  • 과거 5 년간 (1977∼1981) 서울대학교병원 이비인후과에서 경험한 72예의 기관 및 기관지이물환자의 합병증에 대한 임상분석을 실시하였다. 합병증은 58예 (80.6%)에서 발생되었다. 24예(33%)에서는 한가지 이상의 합병증이 있었으며, 22예는 폐기종. 5예에서 무기폐, 1예에서 폐염이 발생되었고. 4예는 사망하였다. 저자들은 합병증의 분석결과와 함께 이를 일으키는 요인 및 처치에 대하여 문헌고찰과 함께 보고하는 바이다.

  • PDF

기도 및 식도 이물에 대한 임상적 고찰 (Clinical Analysis of Upper Aerodigestive Tract Foreign Body)

  • 이민영;정성도;김영훈;정필상;이상준
    • 대한기관식도과학회지
    • /
    • 제15권1호
    • /
    • pp.28-34
    • /
    • 2009
  • Background and Objectives: Foreign bodies of upper aerodigestive tract are common problem for primary care physicians. Delayed diagnosis or failure of removal might cause fatal problemsand complications. Therefore proper diagnosis and management is imperative. In this study, we described clinical features of upper aerodigestive tract foreign body, and analyzed efficacy of different management modality. Materials and Methods: 250 cases of foreign bodies in the esophagus and trachea, between Jan. 1998 through Jan. 2009 has been retrospectively analyzed. A total of 24 cases and 226 cases had been found each as airway foreign bodies and esophageal foreign bodies. The clinical features are described and treatment outcomes, prognosis, and rate of complications of each management modality have been compared. Results: In airway foreign bodies, ventilating bronchoscopy yielded better results, 19 success out of 19 trials than fiberoptic bronchoscopy, 3 success out of 5 trials. Hospitalization days after removal of foreign body didn't show difference between two treatment modalities, although patients who had ventilating bronchoscopy had gone through general anesthesia. And there was no complication after removal of foreign body. In esophageal foreign bodies, rigid esophagoscope yielded better results, 99% of successful removal rate, compared to the EGD, only 78% of successful removal rate. There was no difference of hospitalization days between two modalities. And complication rate was even low in patients who had done rigid esophagoscopic foreign body removal. Conclusion: In upper aerodigestivetract foreign body. Rapid diagnosis and successful foreign body removal is important. Removal by rigid scope(ventilating bronchoscope, rigid esophagoscope) revealed less failure in both airway and esophageal foreign bodies.

  • PDF

흉부외상의 임상적 고찰 (Clinical Evaluation of Chest Trauma - Analysis for 97 cases -)

  • 정원상
    • Journal of Chest Surgery
    • /
    • 제21권2호
    • /
    • pp.307-315
    • /
    • 1988
  • A clinical analysis was performed on 97 cases of chest injuries experienced at Department of Thoracic and cardiovascular Surgery, Armed Forces Capital Hospital during 2 years period from 1986 to 1988. Of 97 patients of chest trauma, 39 cases were result from penetrating injuries whereas 58 cases were from non-penetrating injuries, and there were 77 cases of hemothorax and / or pneumothorax, 47 of rib fracture, 8 of foreign body, 6 scapular and clavicle fracture, 5 of diaphragmatic injuries, 4 of paraplegia. The majority of chest injuries were encounted in the age group between 21 and 30 years-old, mean age was 25.9 years-old and all cases were male except one. Gun-shot wound was the most common cause in the penetrating injuries and the majority of non-penetrating chest injury patients were traffic accident and fist or kick accounted for next. The principles of therapy for chest trauma were rapid expansion of the lung by closed thoracostomy[45 cases] and thoracentesis only[3 cases] but thoracotomy done at 27 cases because of massive bleeding or intrapleural hematoma, foreign body, cardiac injury, diaphragmatic injury and bronchial rupture. The over-all mortality was 2.07 percent[2 cases among all], a case was from penetrating injuries and another was from non-penetrating injuries.

외국인 근로자 환자의 성형외과 영역에 대한 분석 (Analysis of the Foreign Worker Patients in Plastic Surgery)

  • 백인수;노상훈;홍인표;박철규
    • Archives of Plastic Surgery
    • /
    • 제37권5호
    • /
    • pp.561-564
    • /
    • 2010
  • Purpose: According to the data presented by ministry of justice, a number of foreign workers in Korea is approximately 700 thousands and among them 22 thousands are illegal workers. We would like to provide the basic information the foreign workers by analyzing clinical contents. Methods: 1456 patients who visited the hospital were reviewed by nationality, medical department, gender and age. 62 patients have visited plastic surgery department and they were additionally reviewed by diagnosis, chief complant and operation. Results: Mongolians were 388 cases (26.7%), followed by Chineses with 452 cases (31.1%). General surgery had 264 visits (18.1%) followed by internal medicine with 388 visits (26.6%). In gender grouping, 781 patients were males and 675 patients were females. Hand, face and extremity injuries were common in plastic surgery field but many foreign worker patients also wanted to take aesthetic surgery such as scar revision, blepharoplasty and augmentation rhinoplasty. Conclusion: It has been twenty years since foreign workers have come to the Korean society. In the past foreign workers were mostly neglected. However with the vast improvement in labor and welfare related services, demands for plastic surgery, especially aesthetic surgery are increasing among foreign workers. Therefore plastic surgeons' continuous interest in foreign workers is required.