Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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다중검출 나선형 CT로 진단한 기관지 이물 흡인

Bronchial foreign body aspiration diagnosed with MDCT

  • 조혜경 (이화여자대학교 의과대학 소아과학교실) ;
  • 조기영 (이화여자대학교 의과대학 소아과학교실) ;
  • 조성윤 (이화여자대학교 의과대학 소아과학교실) ;
  • 손세정 (이화여자대학교 의과대학 소아과학교실)
  • Cho, Hye Kyung (Department of Pediatrics, Ewha Womans University School of Medicine) ;
  • Cho, Ki Young (Department of Pediatrics, Ewha Womans University School of Medicine) ;
  • Cho, Sung Yoon (Department of Pediatrics, Ewha Womans University School of Medicine) ;
  • Sohn, Sejung (Department of Pediatrics, Ewha Womans University School of Medicine)
  • 투고 : 2007.03.16
  • 심사 : 2007.06.11
  • 발행 : 2007.08.15
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초록

이물 흡인은 영아와 어린 소아에서 흔히 발생하는 사고이다. 진단이 늦거나 기도 내에 이물이 오래 머물게 되면 질식의 위험뿐만 아니라 폐렴, 무기폐, 또는 기관지 확장증 등의 합병증이 발생한다. 또한 세기관지염이나 크루프, 천식 등으로 잘못 진단하고 치료하는 경우가 많이 있게 된다. 저자들은 초기에 세기관지염으로 진단되었다가 기관지 이물 흡인으로 확진되어 치료한 증례를 통해, 자세한 병력청취와 세밀한 진찰소견에 의해 이물 흡인을 강력히 의심하는 것이 진단에 매우 중요함을 인식하였다. 이 때, 흉부 방사선 이상 소견이 미약하더라도 무시해서는 아니되며 이상 소견이 뚜렷하지 않다면 시간차를 두고 반복 검사를 하는 것이 진단에 도움이 된다. 이물 흡인의 확진에는 다중검출 나선형 CT 검사가 매우 유용하게 이용될 수 있다.

Foreign body aspiration (FBA) is a common accident in young children. Undiagnosed and retained foreign bodies may result in severe early and late complications such as asphyxia, pneumonia, atelectasis and bronchiectasis. Moreover, because it can mimic bronchiolitis, croup or asthma, an accurate history and a high index of suspicion are of paramount importance for early diagnosis. With our experience on bronchial FBA initially misdiagnosed as acute bronchiolitis, we emphasize that a minute radiological finding should not be neglected and a repeat chest radiograph may be helpful when the initial study shows normal findings. Multidetector computed tomography is a very useful noninvasive diagnostic modality for FBA.

키워드

참고문헌

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