DOLUNAY GÜRSES, Ahmet AKÇAY, İnanç ÇAKALOZ, İlknur KILIÇ, HACER ERGİN, Cüneyt Oran KARA

Çocukluk çağı yabancı cisim aspirasyonlarının değerlendirilmesi

Amaç: Yabancı cisim aspirasyonları çocuklarda oldukça sık görülür ve ölümlere yol açabilir. Bu çalışmada solunum sistemi yabancı cisimleri araştırılarak klinik özellikleri ve sonuçları incelendi. Yöntem: Ağustos 2000 - Temmuz 2002 tarihleri arasında yabancı cisim aspirasyonu tanısı koyulan 32 vaka retrospektif olarak değerlendirildi. Bulgular: Vakaların % 59'u erkek, % 41'i kız ve % 84'ü üç yaşın altındaydı. Anne eğitim düzeyi vakaların % 38'inde lise ve üstündeydi. En sık rastlanan başvuru şikayetleri sırasıyla öksürük, morarma, nefes darlığı, hırıltılı solunum, kusma ve ateşti. Çeşitli kuruyemişler (% 63) ve diğer besin maddeleri (% 25) en sık aspire edilen materyalleri oluşturuyordu. Yabancı cisimlerin dağılımı vakaların % 48'inde sağ ana bronş, % 33'ünde sol ana bronş, % 5'inde trakea, % 9'unda larinks ve % 5'inde her iki ana bronştaydı. Vakaların % 66'sı ilk 24 saat içinde hastanemize başvururken, % 34'ü daha geç getirilmişti. Erken ve geç başvuranlar vakalar arasında ateş ve dispne semptomları ile radyolojik bulgular açısından istatistiksel olarak anlamlı farklılık saptandı (p

Anahtar Kelimeler:

Yabancı cisimler, Çocuk, Geriyedönük çalışma, Solunum sistemi

The evaluation of foreign body aspiration in childhood

Aim: Foreign body aspirations are frequently seen in children and can sometimes lead even to death. In this study the clinical spectrum and results of airway foreign body aspiration were investigated. Methods: Thirty-two patients with the diagnosis of foreign body aspiration between August 2000 - July 2002 were retrospectively evaluated. Results: Fifty-nine percent of the patients were male and 41 % were female, and 84 % of the patients were under the age of 3 years. The education level of the mothers were above high school in 38 % of the patients. Most common symptoms on admission were cough, cyanosis, dsypnea, wheezing, vomiting and fever respectively. Most common foreign bodies were dried fruits (63 %) and other foods (25 %). The location of the foreign bodies in the right and left main bronchi, trachea, larynx, and both bronchi were 48, 33, 5, 9, 5 percent, respectively. Sixty-six percent of the patients were admitted within the first 24 hours following the aspiration and 34 % of the patients were admitted after the first 24 hours. There was significant differences in fever, and dyspnea symptoms, and radiographic findings between the early and late admitted patients (p<0.05). Conclusion: Foreign body aspiration in children is a preventable accident with a high risk of mortality and morbidity which is frequently seen in our country. With improvement in education the incidence and mortality of foreign body aspiration will decrease.

Keywords:

Foreign Bodies, Child, Retrospective Studies, Respiratory System,

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