Buradasınız

Anasayfa » Content

Acil Servise Başvuran Yabancı Cisim Olgularının Değerlendirilmesi

THE EVALUATION OF FOREIGN BODY ASPIRATION CASES APPLIED TO THE EMERGENCY DEPARTMENT

Journal Name:

  • Türkiye Aile Hekimliği Dergisi

Publication Year:

  • 2003

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Objective: Foreign body (FB) aspirations are mostly seen in infants who like taking objects into their mouth and in preschool children. The diagnosis of FB aspiration was based on history, clinical and radiological findings. In this study, we aimed to evaluate cases of FB aspiration who applied to Dicle University Hospital's Emergency Department between January and December 2000. Method: Patients were evaluated in two groups according to their ages. The first group was the children group (CG), includ¬ing children at 9 years of age or younger; the second group included patients older than 9 years and was called the adult group (AG). Of the 44 patients evaluated, 24 (54.5%) were female and 20 (45.5%) were male (p>0.05). Results: The average ages were 3.4±1.8 (range 1-9) years in CG and 24.3±13.2 (range 14-60) years in AG. 32 patients (72.7%) were in the children group (p=0.003). The most important symptoms were breathlessness and coughing in CG, whereas breathlessness, coughing, abdominal pain and gasping for breathing were the main symptoms in AG. Physical examination revealed unilaterally decreased breathing sounds in 11 patients of CG. Localized foreign bodies (FB) were detected with x-rays in 22 (68.7%) patients of CG and 7 (58.3%) patients of AG. According to localization, the foreign bodies were found mostly in the first narrowing of esophagus (n=20, 45.4%) and secondly, in the right main bronchus (n=13, 29.5%), while 4 of them (9%) were located in the trachea and 3 (6.8%) in the stomach (p<0.0001). The types of FB in our cases were mostly coins in CG (n=18, 56.2%) and sharp bodies in AG (n=9, 75%) (P=0.0001). Conclusion: Consequently, the most swallowed foreign bod¬ies were found to be coins in children so in production, it is necessary to give importance to size of coins in order not to cause aspirations.
Bookmark/Search this post with
Abstract (Original Language): 
Amaç: Yabancı cisim (YC) aspirasyonu, nesneleri ağızlarına götürmeyi seven bebeklerle, oyun çocuklarında daha sık görülür. Tanı, hastanın öyküsü, kliniği ve radyolojik çalışmalar ile konur. Bu çalışmada Dicle Üniversitesi Acil Servisine Ocak-Aralık 2000 döneminde başvuran YC aspirasyonu olgularının değer¬lendirilmesi amaçlandı. Yöntem: Olgular yaşlarına göre iki gruba ayrıldı. Birinci grup <9 yaş çocuk grubu (ÇG); ikinci grup >9 yaş erişkin grubunu (EG) içeriyordu. Değerlendirilen 44 olgunun 24'ü kadın (%54.5), 20'si erkekti (%45.5) (p>0.05). Bulgular: ÇG'nun ortalama yaşı 3.4±1.8 (aralık 1-9) yıl, EG'nun ortalama yaşı 24.3±13.2 (aralık 14-60) yıl idi. 32 (%72.7) olgu çocuk yaş grubundaydı (p=0.003). ÇG'da en önemli semptomlar nefes darlığı ve öksürük idi. EG'nda ise nefes darlığı, öksürük, karın ağrısı ve tıkanma hissi mevcuttu. Olgularımızın; ÇG'nun fizik muayenesinde 11 olguda (%34.3) tek taraflı so¬lunum seslerinde azalma saptandı. Hastaların grafilerinde ÇG'da 22 (%68.7), EG'nda yedi (%58.3) hastada YC saptandı. Lokalizasyonlarına göre YC'ler en çok özofagus birinci darlıkta (n=20, %45.4), ikinci sıklıkta sağ ana bronşta (n=13, %29.5), trakeada (n=4, %9) ve midede (n=3, %6.8) idi (p<0,0001). En sık tespit edilen YC'ler; ÇG'da metal para (n=18, %56.2), EG'ta sivri cisimlerdi (n=9, %75) (p=0.0001). Sonuç: Çocuklarda en sık yutulan YC, metal paradır. Ailelerin bu konuda bilinçlendirilip bu tür YC'leri çocuklardan uzakta tutmaları; metal paraların imalatında, aspirasyona yol açmaya¬cak boyutta olmasına dikkat edilmesi gereklidir.
FULL TEXT (PDF): 
PDF icon arastrmx_116859_7_pp_67-72.pdf
  • 2
67-72
  • Turkish

REFERENCES

References: 

1. Schwartz MW (Ed.), Clinical Pediatrics (Manuel book).
Klini
k Pediatri El Kitabı, (Çeviri Editörü: Tataroğlu N), İstanbul, Mors Matbaacılık, 1997.
2. Bloom RR, Nakano PH, Gray SW, Skandalakis JE. Foreign bodies of the gastrointestinal tract. Am Surg 1986; 52: 618-21.
3. Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises: case 33-1997-a 75 year-old man with chest pain, hemoptysis, and a pulmoner lesion. N Engl J Med 1997; 337: 1220¬6.
4. Al-Majed SA, Ashour M, al-Mobeireek AF, al-Hajjaj MS, Alzeer AH, al-Kattan K. Overlooked inhaled foreign bodies: late sequelae and the likelihood of recovery. Respir Med 1997; 91: 293-6.
5. Reilly JS, Cook SP, Stool D, Rider G. Prevention and management of aerodigestive foreign body injuries in childhood. Pediatr Clin North Am 1996; 43: 1403-11.
6. Webb WA. Management of foreign bodies of the upper gastrointestinal tract. Gastroentorology 1988; 94: 204-16.
7. Chaikhouni A, Kratz JM, Crawford FA. Foreign bodies of the esop¬hagus. Am Surg 1985; 51: 173-9.
8. Baharloo F, Veyckemans F, Francis C, Biettlot MP, Rodenstein DO.
Tracheobronchial foreign bodies, presentation and management in child¬ren and adults. Chest 1999; 115: 1357-62.
9. Bodart E, de Bilderling G, Tuerlinckx D, Gillet JB. Foreign body as¬piration in childhood: management algorithm. Eur J Emerg Med 1999; 6:
21-5.
10. Burton EM, Brick WG, Hall JD, Riggs W Jr, Houston CS. Tracheob-ronchial foreign body aspiration in children. South Med J 1996; 89: 195¬8.
11. Black RE, Johnson DG, Matlak ME. Bronchoscopic removal of aspirated foreign bodies in children. J Pediatr Surg 1994; 29: 682-4.
12. Inglis AF Jr, Wagner DV. Lower complication rates associated with bronchial foreign bodies over the last 20 years. Ann Otol Rhinol Laryngol
1992; 101: 61-6.
13. Mu L, he P, Sun D. Inhalation of foreign bodies in Chinese children: a review of 400 cases. Laryngoscope 1991; 101: 657-60.
14. Mantel K, Butenandt I. Tracheobronchial foreign body aspiration in childhood. A report on 224 cases. Eur J Pediatr 1986; 145: 211-6.
Türkiye Aile Hekimliği Dergisi | Turkish Journal of Family Practice | Cilt 7 | Sayı 2 | 2003 |
15. Nandi P, Ong GB. Foreign body in the esophagus: review of 2394 cases. 17. Brooks JW. Foreign bodies in the air and food passages. Ann Surg 1972; Br J Surg 1978; 65: 5-9. 175: 720-32.
16. Baraka A, Bikhazi G. Esophageal foreign bodies. Br Med J 1975; 1: 18. Giordano A, Adams G, Boies L Jr, Meyerhoff W. Current management 561-3. of esophageal foreign bodies. Arch Otolaryngol 1981; 107: 249-51

Thank you for copying data from http://www.arastirmax.com