Ali ÇELİK, İsmail Cüneyt KURUL, Cemil Deniz YORGANCILAR, Özgür KARAKURT, Sedat DEMİRCAN

Trakeobronşial yabancı cisim aspirasyonları; 25 olgunun analizi

Amaç: Yabancı cisim aspirasyonu her yaşta görülmekle beraber daha çok çocuklu yaş grubunda sıktır. Hava yolunun bir kısmının ya da tamamının tıkanmasına bağl olarak farklı belirti ve bulgularla seyreder. Acil müdahale edilmezse ölüme sebep ve rebilen bir durumdur. Kliniğimizde yabancı cisim aspirasyonu nedeniyle müdahal edilen olgular değerlendirildi.Materyal/ Metod: Ocak 2003- Aralık 2007 arasında yabancı cisim aspirasyonu ön tanısı ile girişim uygulanan 25 olgu retrospektif olarak değerlendirildi. Olgular yaş cinsiyet, ilk başvuru şikayetleri, diğer şikayetleri, geliş süreleri, sosyoekonomik dü zey, fizik muayene bulguları, radyolojik incelemeler, yabancı cisimin yeri ve natür açısından incelendi.Bulgular: Yaşları 6 ay-66 yaş arasında değişen 16’sı erkek 9’u kadın olgunun ya ortalaması 18 olarak hesaplandı. Semptomatik olgulardaki en sık başvuru semptomu ani başlayan öksürüktü. Solunum sıkıntısı, hırıltılı solunum, morarma diğer yakın malardı. Kırsal kesimden gelen ve sosyoekonomisi düşük olan hasta sayısı az miktar daydı. Olguların önemli bir çoğunluğu ilk 24 saatte başvuran hastalardı. Hastaların yarısında fizik muayene bulguları anlamlıydı. Ancak fizik muayene bulgusu olmayıp arka-ön akciğer grafisinde (PAAG) pozitif bulgusu olan 8 olgu saptandı. Yabanc cisimlerin 15’i organik 9’u inorganik yapıdaydı. Sonuç: Bu çalışma yabancı cisimlerin çocuklar kadar erişkinler için de önemli ol duğu ve fizik muayene ile radyolojik değerlendirmenin hasta için önemi vurgula maktadır.

Tracheobronchial foreign body aspirations, analysis of 25 patients tracheobronchial foreign body aspirations, analysis of 25 patients

Purpose: Foreign body aspiration is usually seen in childhood but can occur at anyage. Complete or partial obstruction of the main bronchial system causes differentfindings and death can result if emergency treatment is not given. We analysed thepatients treated for foreign body aspiration in our clinic.Materials and methods: Twenty-five patients in whom foreign body was suspectedwere evaluated retrospectively between January 2003 and December 2007. All ofthe patients were examined in terms of age, sex, initial presenting complaint, othercomplaints, arrival time, social-economic levels, physical examination and radiologic findings, and localisation and nature of the foreign body.Results: Of the patients 16 were male and 9 were female. The range of age was 6months to 66 years, and mean age was 18. The most common complaint was unexpected coughing in symptomatic patients. Other frequent symptoms were respiratorydistress and wheezing. A small amount of the patients came from rural areas andwere of low social-economic status. A large number of the patients presented in thefirst 24 h. Half of the patients had positive physical examination findings. Eightpatients had positive posteroanterior chest roentgenograms although they did nothave any physical examination findings. Of the foreign bodies 15 were organic and9 were inorganic.Conclusion: This study reports that foreign body aspiration is important in adults aswell as in children, and radiologic findings with physical examination are of greatimportance in the evaluation of these patients.

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