Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Imaging of Acute Pulmonary and Airway Diseases in Children

소아의 급성 폐 및 기도질환의 영상

  • Mi-Jung Lee (Department of Radiology and Research Institute of Radiological Science, Severance Children's Hospital, Yonsei University College of Medicine) ;
  • Hyun Joo Shin (Department of Radiology and Research Institute of Radiological Science, Severance Children's Hospital, Yonsei University College of Medicine) ;
  • Haesung Yoon (Department of Radiology and Research Institute of Radiological Science, Severance Children's Hospital, Yonsei University College of Medicine)
  • 이미정 (연세대학교 의과대학 영상의학과, 방사선의과학연구소, 세브란스 어린이병원) ;
  • 신현주 (연세대학교 의과대학 영상의학과, 방사선의과학연구소, 세브란스 어린이병원) ;
  • 윤혜성 (연세대학교 의과대학 영상의학과, 방사선의과학연구소, 세브란스 어린이병원)
  • Received : 2020.04.03
  • Accepted : 2020.07.11
  • Published : 2020.07.01
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Abstract

Among the various emergency diseases in children, acute pulmonary and airway disease are common clinical conditions encountered by radiologists, and the first imaging modality is chest radiography. Therefore, it is important to be familiar with these diseases and their imaging findings. In this article, we review pneumonia and mimickers of acute pulmonary disease. For acute airway disease, we reviewed croup, acute epiglottitis, tracheomalacia, asthma, postinfectious bronchiolitis obliterans, and foreign body aspiration. We hope this review of special diseases can help the diagnosis and treatment in children.

소아의 다양한 응급질환 중 급성 폐질환 또는 급성 기도질환은 영상의학과 의사가 자주 대하게 되는 임상 상황이며, 일차적으로 시행되는 영상검사는 흉부 방사선사진이다. 따라서 다양한 임상 상황에서의 감별진단과 영상 소견을 숙지하는 것이 중요하다. 본 종설에서는 급성폐질환의 다양한 원인과 폐렴을 알아보고, 폐렴과 감별해야 하는 급성 폐질환을 생각해보았다. 급성 기도질환으로는 크룹, 급성 후두염, 기관연화증, 천식, 감염 후 폐쇄세기관지염, 그리고 이물 흡인을 검토하였다. 이렇게 소아에서 고려해야 할 질환들의 영상 소견을 검토하여 진단과 치료에 도움을 줄 수 있길 바란다.

Keywords

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