A Common Health Problem in Children: Tracheobronchial Foreign Body Aspirations

B. Altuntas, Y. Aydın, I. İnce, A. Eroğlu
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Abstract

Introduction:Tracheobronchial foreign body aspiration is serious health problem in children. In this paper, we aimed to present our experience in tracheobronchial foreign body aspirations and rigid bronchoscopy in children.Material and Methods:Between January 1990 and May 2015, 693 patients less than 17 years of age with presumptive diagnosis of tracheobronchial aspiration of foreign bodies were included this study. Patients records were retrospectively analysed according to age, gender, symptoms and physical fndings, foreign body type and localization, radiologic fndings and treatments.Results:Three hundred ffty one of the patients were male (51%) and 342 patients were female (49%). All patients underwent rigid bronchoscopy procedure except six patients. Foreign bodies were found in 589 patients (85%). Mcgill clemp was used for removing of foreign bodies settled on vocal cords in six patients and subsequently, rigid bronchoscopy was performed for checking of tracheobronchial system. Thoracotomy was required in four patients (0.7%). The most common foreign bodies were nuts (n=373). The most frequent localization site of foreign bodies was right bronchial system (n=292). The chief radiologic fnding was obstructive emphysema (n=296). Cardiopulmonary arrest occurred in 11 patients and 2 of them died (0,3%).Conclusions:The gold standard in diagnosis and management of tracheobronchial foreign body aspiration is bronchoscopy, which can be performed with a low complication rate.
儿童常见的健康问题:气管支气管异物吸入
气管支气管异物吸入是儿童严重的健康问题。在本文中,我们的目的是介绍我们的经验气管支气管异物吸入和刚性支气管镜检查在儿童。材料与方法:1990年1月至2015年5月,693例17岁以下推定诊断为气管支气管异物吸入的患者纳入本研究。根据年龄、性别、症状和体格表现、异物类型和定位、放射学表现和治疗方法对患者记录进行回顾性分析。结果:男性351例(51%),女性342例(49%)。除6例患者外,所有患者均行刚性支气管镜检查。589例(85%)患者发现异物。6例患者使用Mcgill钳清除声带异物,随后行刚性支气管镜检查气管支气管系统。4例(0.7%)患者需要开胸手术。最常见的异物是坚果(n=373)。最常见的异物定位部位为右支气管系统(n=292)。主要影像学表现为阻塞性肺气肿(n=296)。11例患者发生心肺骤停,2例死亡(0.3%)。结论:气管支气管异物吸入诊断和处理的金标准是支气管镜检查,其并发症发生率低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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