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Çocukluk çağı solunum yolu patolojilerinde bronkoskopinin yeri

The role of bronchoscopy in the evaluation of childhood respiratory pathologies

Journal Name:

  • Gülhane Tıp Dergisi

Publication Year:

  • 2008

Key Words:

Keywords (Original Language):

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Abstract (2. Language): 
Bronchoscopy is an endoscopic procedure that is used for the diagnosis and treatment of several tracheobronchial pathologies. The aim of this study was to evaluate the clinical records of children, in whom bronchoscopy was performed between November 1995 and September 2007. Data of 37 patients (median age 28.7 months, range 12 to 134 months) with a history of foreign body aspiration and respiratory distress and in whom bronchoscopy was performed were retrospectively reviewed. Of the 31 children with a history of foreign body aspiration (83%), a foreign body was extracted from 27 (73%). Mucus secretions in the tracheobronchial tree were aspirated in 6 (17%) cases with respiratory distress. The patients, from whom a foreign body was extracted showed differences from the others with regard to acute onset cough (70%) and stridor (44%), ipsilateral decreased breath sounds (78%), and air trapping in chest radiogram (44%). The most common indication for bronchoscopy procedure was the history of a foreign body aspiration. To avoid morbidity and mortality, education of parents and caregivers about the prevention of foreign body aspiration should be the main goal. In addition, bronchoscopy should be done with great care by experienced specialists.
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Abstract (Original Language): 
Bronkoskopi birçok trakeobronşiyal patolojinin tanı ve tedavisinde kullanılan endoskopik bir yöntemdir. Bu çalışmanın amacı Kasım 1995 ile Eylül 2007 tarihleri arasında bronkoskopi uygulanan olguların dosyalarını değerlendirmektir. Yabancı cisim aspirasyon hikayesi ve solunum sıkıntısı olan ve bronkoskopi uygulanan 37 olgunun (ortanca yaş 28.7 ay, 12-134 ay arası) bilgileri geriye dönük olarak gözden geçirildi. Yabancı cisim aspirasyon şüphesi olan 31 (%83) olgunun 27'sinden (%73) yabancı cisim çıkartıldı. Solunum sıkıntısı olan 6 (%17) olguda trakeobronşiyal ağaçtaki müküs sekresyonları aspire edildi. Yabancı cisim çıkarılan çocuklar ani başlayan öksürük (%70) ve hırıltılı solunum (%44), fizik muayenede tek taraflı solunum seslerinde azalma (%78), akciğer grafisinde havalanma artışı (%44) saptanması ile diğerlerinden farklılık gösterdi. Bronkoskopilerin büyük çoğunluğunu yabancı cisim şüphesi olan çocuklar oluşturmaktadır. Mortalite ve morbiditeyi önlemek için ebeveynlerin, bakıcıların ve çocuk bakımı ile ilgili kurumların yabancı cisim aspirasyonunun önlenmesi hakkında eğitilmesi ana amaç olmalıdır. Ayrıca bronkoskopi işlemi uzman kişilerce dikkatli bir şekilde yapılmalıdır.
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  • 1
30-33
  • Turkish

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