Hayrünisa Kahraman Esen, Osman Esen, Elif Atar Gaygusuz, Mustafa Akay

Yabancı Cisim Aspirasyona Bağlı Total Atelektazi Olgusunda Acil Bronkoskopi Uygulamamız

Çocukluk çağında kazayla meydana gelen ani ölümlerin en önemli nedenlerinden biri de trakeobronşial yabancı cisim aspirasyonlarıdır. Ülkemizde gıda aspirasyonu diğer yabancı cisim aspirasyonlarına göre daha fazla görülmektedir. Yabancı cisim aspirasyonu hava yollarının tıkanması sonucu gelişen bir mekanik asfiksi türüdür. 6 ay-3 yaş arası çocuklarda daha sık görülür, yüksek morbidite ve mortaliteyle seyreder. Yabancı cisim aspirasyonlarında hızlı tanı ve ardından yapılan broskoskopi hayat kurtarıcı olabilmektedir. Ancak bronkoskopi tecrübe gerektirmesi ve uygulama zorluğuyla birlikte çeşitli komplikasyon riski taşır. Olgumuzda yabancı cisim aspirasyonu gelişen on dört aylık kız çocuğuna acil bronkoskopi ve tüp torakostomi yapıldı ve sekelsiz olarak 7. gün taburcu edildi.

Anahtar Kelimeler:

Yabancı cisim aspirasyonu, bronkoskopi, pnömotoraks

Foreign Body Aspiration Connected Total Atelectasis in Case Emergency Bronchoscopy Our Practice

Tracheobronchial foreign body aspiration is one of the most common causes of accidental sudden death in childhood. In our country, food aspiration is more frequently encountered than other cause of foreign body aspiration. Foreign body aspiration results in airway obstruction and is a type of mechanical asphyxia,. It is more common in children between 6 months and 3 years of age with a high morbidity and mortality rate. In foreign body aspiration, rapid diagnosis and subsequent bronchoscopy may be lifesaving. However, bronchoscopy requires experience and carries the risk of various complications with difficulty in practice. In our case, urgent bronchoscopy and tube thoracostomy were performed in a fourteenmonth-old girl who developed foreign body aspiration and the patient was discharged on the 7th day without sequelae.

Keywords:

Foreign body aspiration, bronchoscopy, pneumothorax,

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