15年間の食道気道異物統計並に頸部外切開を要した異物例

抄録

The Otorhinolaryngological Clinic of the Chiba University has had a total of 219 cases of foreign bodies, composed of 112 cases of foreign bodies in the esophagus, 47 cases of foreign bodies in the inferior air passages and 60 cases of foreign bodies in the pharynx. The number of cases declined for a while after the war, but it has shown a growing tendency again recently. The male cases were 1.5 times more than the female cases. Six cases that ended in death were mostly cases of foreign bodies in the inferior air passages of small children. From the view point of age, both esophageal and laryngo-tracheo-bronchial foreign bodies with children, pharyngeal foreign bodies with youth and esophageal foreign bodies with adults and older people are salient. As for the nature of forein bodies, pea-nuts are ranked first in the inferior air passages, and so are the coins in the esophagus and fish-bones in the pharynx.
Symptoms and operational findings of 8 cases where cervical incision was required are repor- ted. The incisions were repuired (1) to drain the abscess caused by the foreign body,(2) because the foreign bodies were outside the lumens or (3) because the foreign bodies were perpendicular to the lumens.
Attention is directed to the danger of pointed foreign bodies in the esophagus, especially that of unexpected foreign bodies that stray into foods and the importance is stressed of the effort to try to detect any foreign body in the food even when there is no foreign body in direct vision.