foreign body aspiration

• 異物誤嚥、異物吸引、誤嚥

関

aspiration、misswallowing

WordNet

1. invest with or as with a body; give body to (同)personify
2. the external structure of a vehicle; "the body of the car was badly rusted"
3. the main mass of a thing
4. a natural object consisting of a dead animal or person; "they found the body in the lake" (同)dead body
5. the entire structure of an organism (an animal, plant, or human being); "he felt as if his whole body were on fire" (同)organic structure, physical structure
6. a collection of particulars considered as a system; "a body of law"; "a body of doctrine"; "a body of precedents"
7. a group of persons associated by some common tie or occupation and regarded as an entity; "the whole body filed out of the auditorium"; "the student body"; "administrative body"
8. an individual 3-dimensional object that has mass and that is distinguishable from other objects; "heavenly body"
9. the central message of a communication; "the body of the message was short"
10. of concern to or concerning the affairs of other nations (other than your own); "foreign trade"; "a foreign office"
11. relating to or originating in or characteristic of another place or part of the world; "foreign nations"; "a foreign accent"; "on business in a foreign city" (同)strange
12. a will to succeed
13. a manner of articulation involving an audible release of breath

PrepTutorEJDIC

1. 〈C〉『身体』,肉体 / 〈C〉(人・動物の)『胴体』 / 〈C〉)物の)『主要部』,本体《+『of』+『名』》 / 〈C〉(…の)『団体』,群れ:(…のたくさんの)集まり《+『of』+『名』》 / 〈C〉物体,…体 / 〈U〉実質;(酒・味などの)こく / 〈C〉《話》人
2. 『外国の』;外国からの;外国との / 《名詞の前にのみ用いて》異質の,外部からの / 《補語にのみ用いて》(…に)無縁の,(…と)全く異なる《+『to』+『名』》
3. 大望,熱望 / 呼気,呼吸 / 気音を伴って発音すること(例:penの[p],killの[k])
4. 《英話》人;(特に)男

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2013/03/11 09:31:01」(JST)

wiki en

[Wiki en表示]

For other uses of this term, see foreign body (disambiguation).

Foreign body
Classification and external resources
Endoscopy image of gastric foreign body (toothbrush)
ICD-10	T15-T19, T14.0
ICD-9	930-939 , 919.6
MeSH	D005547

A foreign body (Latin: corpus alienum) is any object originating outside the body. In machinery, it can mean any unwanted intruding object.

Most references to foreign bodies involve propulsion through natural orifices into hollow organs.

Foreign bodies can be inert or irritating. If they irritate they will cause inflammation and scarring. They can bring infection into the body or acquire infectious agents and protect them from the body's immune defenses. They can obstruct passageways either by their size or by the scarring they cause. Some can be toxic.

Both children and adults experience problems caused by foreign objects getting stuck in their bodies. Young children, in particular, are naturally curious and may intentionally put shiny objects, such as coins or button batteries, into their mouths. They also like to stick things in their ears and up their noses. The effect of a foreign body can very different. For example, a coin causes local pressure on the tissue but generally, is not a medical emergency to remove. A button battery, which can be a very similar size to a coin, generates hydroxide ions at the anode and causes a chemical burn in 2 hours. An ingested button battery that is stuck in the esophagus is a medical emergency. In 2009, Avolio Luigi and Martucciello Giuseppe showed that although ingested nonmagnetic foreign bodies are likely to be passed spontaneously without consequence, ingested magnets (magnetic toys) may attract each other through childrens' intestinal walls and cause severe damage, such as pressure necrosis, perforation, intestinal fistulas, volvulus, and obstruction.

Alimentary tract

Main article: Foreign body in alimentary tract

A coin seen on AP CXR in the esophargus

A coin seen on lateral CXR in the esophargus

One of the most common locations for a foreign body is the alimentary tract.

It is possible for foreign bodies to enter the tract from the mouth, or from the rectum.

Airways

It is also possible for a foreign body to enter the airways.

In one study, peanuts were the most common obstruction. In addition to peanuts, hot dogs, and grapes, latex balloons are also a serious choking hazard in children that can result in death. A latex balloon will conform to the shape of the trachea, blocking the airway and making it difficult to expel with the Heimlich maneuver.

Eyes

Airborne particles can lodge in the eyes of people at any age. These foreign bodies often result in allergies which are either temporary or even turn into a chronic allergy. This is especially evident in the case of dust particles.

It is also possible for larger objects to lodge in the eye. The most common cause of intraocular foreign bodies is hammering.

Skin/tissue

Surgical suture. H&E stain.

With sufficient force (as in firing of bullets), a foreign body can become lodged into nearly any tissue. Splinters are common foreign bodies in skin. Staphylococcus aureus infection often causes boils to form around them.

Tetanus prophylaxis may be appropriate.

Other

Foreign material in a blood vessel due to an embolization procedure.

Talcosis of the lung due to intravenous drug use. H&E stain.

Foreign bodies can also become lodged in other locations:

• ears
• nose
• vagina
• urethra
• blood vessels

In other animals

Bottle top swallowed by a dog

Needle swallowed by a cat

Foreign bodies are common in animals, especially dogs and cats. Dogs will readily eat toys, bones, and any object that either has food on it or retains the odor of food. Unlike humans, dogs are susceptible to gastrointestinal obstruction due to their ability to swallow relatively large objects and pass them through the esophagus. Foreign bodies most commonly become lodged in the stomach because of the inability to pass through the pyloric sphincter, and in the jejunum. Symptoms of gastrointestinal obstruction include vomiting, abdominal pain, and depression due to dehydration. Peritonitis results if either the stomach or intestine has ruptured. Foreign bodies in the stomach can sometimes be removed by endoscopic retrieval or if necessary by gastrotomy. Foreign bodies in the jejunum are removed by enterotomy.

Certain foreign bodies in animals are especially problematic. Bones or objects with sharp edges may cause tearing of the wall of the esophagus, stomach, or small intestine and lead to peritonitis. Pennies swallowed in large numbers may cause zinc poisoning, which in dogs leads to severe gastroenteritis and hemolytic anemia. Linear foreign bodies can especially be dangerous. A linear foreign body is usually a length of string or yarn with a larger object or clump of material at either end. One end is usually lodged in the stomach or proximal small intestine and the other end continues to travel through the intestines. The material becomes tightly stretched and the intestines may "accordion up" on themselves or be lacerated by it. This is especially common in cats who may enjoy playing with a ball of string or yarn. Sometimes the linear foreign body anchors in the mouth by catching under the tongue. Pantyhose is a common linear foreign body in dogs.

See also

• 101 Things Removed from the Human Body

References

External links

• [1]
• Case report of Foreign Body Ingestion. Clinical Cases and Images.
• The Susy Safe Project. A Surveillance System on Suffocation Injuries due to Foreign Bodies in European Children.

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

• 1. 小児における気道異物 airway foreign bodies in children
• 2. 成人における気道内異物 airway foreign bodies in adults
• 3. 小児における喘息以外の喘鳴疾患 wheezing illnesses other than asthma in children
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English Journal

• Endoscopic removal of an aspirated healing abutment and screwdriver under conscious sedation.

• Kim A1, Ahn KM.
• Implant dentistry.Implant Dent.2014 Jun;23(3):250-2. doi: 10.1097/ID.0000000000000100.
• PURPOSE: Aspiration of foreign bodies during dental treatment is a medical emergency that requires prompt removal. In this study, aspiration of screwdriver and healing abutment is reported with literature review.MATERIALS AND METHODS: A 26-year-old male patient was referred from a local dental clini
• PMID 24819812

• Unusual Foreign Body Aspiration in Infants Below 6 months of Age.

• Mundra RK1, Agrawal R2, Sinha R3.
• Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India.Indian J Otolaryngol Head Neck Surg.2014 Jun;66(2):145-8. doi: 10.1007/s12070-013-0668-0. Epub 2013 Jun 27.
• Foreign body aspiration is one of the leading causes of accidental death in children. In older infants, tendency to explore their environment by putting objects in mouth leads to aspiration, but in younger infants below 6 months of age, as they are non ambulatory, it is the elder sibling who puts t
• PMID 24822152

• A study of applications of rigid bronchoscopy in pediatric patients.

• Sinha V, Gurnani D, Barot DA.
• Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India.Indian J Otolaryngol Head Neck Surg.2014 Jun;66(2):142-4. doi: 10.1007/s12070-013-0667-1. Epub 2013 Jun 27.
• The aim of the study was to analyse the various indications of rigid bronchoscopy in paediatric patient, the common clinical symptoms, radiological findings, and outcomes of the procedure. A retrospective study was conducted at ENT Department at M. P. Shah Govt Medical College, Jamnagar, and Gujarat
• PMID 24822151

Japanese Journal

• 限局性気管支拡張症を呈した35年の経過をもつ気道異物の1例

• 久保 和義,長友 安弘,宮内 俊一,楠元 規生,上野 史朗,松本 紫朗,綾部 貴典,富田 雅樹,清水 哲哉,岡山 昭彦
• 気管支学 : 日本気管支研究会雑誌 34(3), 242-245, 2012-05-25
• 背景.気道異物は気管支拡張症の発症原因のひとつとして挙げられるが, 5歳時に誤嚥した気道異物が35年間という長期間介在し,気管支拡張症を引き起こした症例を経験したので報告する.症例. 40歳女性. 2000年頃から咳嗽,喀痰,微熱を繰り返し,気管支拡張症と診断されていた.症状の増悪がみられ, 2008年5月当科入院となった.右前胸部にcrackleを聴取し,胸部CTで右上葉に限局した気管支拡張像を …
• NAID 110009457538

• 2010年全国アンケート調査からみた呼吸器内視鏡の合併症(2次出版)

• 浅野 文祐,青江 基,大崎 能伸,岡田 克典,笹田 真滋,佐藤 滋樹,鈴木 栄一,千場 博,藤野 昇三,大森 一光
• 気管支学 : 日本気管支研究会雑誌 34(3), 209-218, 2012-05-25
• 目的.呼吸器内視鏡施行実態と合併症を調査するために,日本呼吸器内視鏡学会は郵送による全国アンケート調査を行った.方法.調査用紙をすべての本学会認定および関連認定の538施設に郵送した.対象. 2010年1年間に施行された呼吸器内視鏡症例(診断的気管支鏡,治療的気管支鏡,局所麻酔下胸腔鏡)で病変,手技別に施行件数,合併症,死亡を症例調査表を使用して調べた.結果. 483施設(89.8%)から回答を得 …
• NAID 110009457531

Related Links

• Foreign Body Aspiration: Background, Pathophysiology ...

Foreign body aspiration can be a life-threatening emergency. An aspirated solid or semisolid object may lodge in the larynx or trachea. ... Stephen P Peters, MD, PhD, FACP, FAAAAI, FCCP, FCPP Thomas H Davis ...

• Foreign Body Aspiration Treatment & Management: Medical ...

Foreign body aspiration can be a life-threatening emergency. An aspirated solid or semisolid object may lodge in the larynx or trachea. ... Stephen P Peters, MD, PhD, FACP, FAAAAI, FCCP, FCPP Thomas H Davis ...

Related Pictures

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★リンクテーブル★

リンク元	「misswallowing」「異物吸引」「異物誤嚥」
関連記事	「foreign」「aspiration」「body」

「misswallowing」

　　[★]

• n.

• 誤飲、誤嚥

関

aspiration、foreign body aspiration

「異物吸引」

　　[★]

英

foreign body aspiration

関

誤嚥、異物誤嚥

「異物誤嚥」

　　[★]

英

foreign body aspiration

関

誤嚥、異物吸引

「foreign」

　　[★]

• adj.

• 外来性の、異質な、海外の

関

adventitious、alien、exogenous、exotic、extraneous、hetero、heterogeneous、heterogeneously、overseas

　 　 　

「aspiration」

　　[★]

• n.

• 吸引

関

inspiration 吸気, expiration 呼気, respiration 呼吸

　 　 　

「body」

　　[★]

• n.

• 体、本体、身体、ボディー