원저

식도이물에 대한 임상통계적 고찰

차형근1, 김용신1, 장백암1, 이재동*
Hyung Kun Cha1, Yong Sin Kim1, Baik Am Chang1, Jae Dong Lee*
Author Information & Copyright
1서울위생병원 이비인후과
*내과
1Department of Otolaryngology, Seoul Adventist Hospital
*Internal Medicine, Seoul Adventist Hospital

© Copyright 1992 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

We have clinically analysed the 71 cases of the foreign bodies in the esophagus during the period from Jan. 1989 to Dec. 1991 at the Department of Otolaryngology, Seoul Adventist Hospital.

The result are as follows;

  1. The most common foreign body was coin(31 cases ; 43.7%), bone (14 cases; 19.8%), meat(11cases ; 15.5%) in order.

  2. In age distribution, 32 cases(45.1%) were under 5 years of age and in this group, coin was the most frequent material(27 cases ; 84.4 %)

  3. In sex distribution, 36 cases(50.7%) were in male and 35 cases(49.3%) were in female.

  4. In the location of foreign bodies of the esophagus, the 57 cases(80.3%) were in the first esophageal narrowing ; 12.7%, the second narrowing ; 4.2%, the third narrowing ; 2.8%, the forth narrowing.

  5. In duration of lodgement, the 60 cases(84.5%) of foreign bodies were removed within 24 hours.

  6. The 12 cases(16.8%) were removed by flexible fibroptic endoscope under local anesthesia without complication.

  7. Repeated esophageal foreign bodies were found in 4 cases and double esophageal foreign bodies in 2 cases.

Keywords: Esophagus; Foreign bodies


37권 2호 Quiz 및 정답, 해설

정답 ③ ㄴ,ㄹ

ㄱ. 갑상선 고주파는 전극 주변에 고주파 전류가 흐르면서 조직내 이온들을 빠르게 진동시키고 
이렇게 발생한 마찰열(friction heat)을 통해 섭씨 60~100도씨의 열을 발생시켜 조직의 응고 괴사를 유도한다.

ㄴ. 생리식염수는 Na+,Cl-를 포함하여 전기전도성이 높아 5% DW 같은 비이온성 용액을 이용하는 것이 좋다.

ㄷ. 관련된 흔한 합병증은 통증, 혈종, 일시적 음성변화로 알려져 있다.

ㄹ. 갑상선 고주파절제술은 정상 갑상선조직을 최대한 보존하면서 양성결절의 부피감소를 유도하고, 
미세유두암의 완전 소실을 유도할 수 있는 치료이다.

 

* 당첨자 (5명)

권**    010-****-**85

고**    010-****-**75

서**    010-****-**72

이**    010-****-**61

장**    010-****-**64

 

응모해 주신 모든분들께 감사드립니다.

경품은 당첨자분들께 8.21(금)까지 개별 발송해 드리겠습니다.

 

임상이비인후과 편집위원회 


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