Bir Bebekte Plastik Poşet İle Boğulma: "Suffokasyon"

Abstract

Boğulma (asfiksi), çocuklarda kaza ile olan yaralanmaların en sık nedenlerinden biridir ve hava yolunda meydana gelen tıkanıklık sonucu küçük çocuklarda ölüme neden olabilir. Burada morarma, soluk alamama yakınması ile Çocuk Acil Servise getirilen ve plastik poşete bağlı suffokasyon tanısı alan 4 aylık bir bebek sunulmuştur. Öykü, fizik muayene ve laboratuvar ile klinik durumu açıklanamayan boğulma olgularında, hava yolunu mekanik olarak tıkayacak etkenlerin sorulması önemlidir. Plastik poşete bağlı boğulmalar çocuklarda nadir görülür ve sıklıkla evlerde bulunan alışveriş poşetleri ile olmaktadır. Sonuç olarak, suffokasyon ailelerin eğitilmesi ile önlenebilir.

Keywords

• Asfiksi, çocuk, plastik poşet, suffokasyon

ASPHYXIATION WITH PLASTIC BAG IN AN INFANT: “SUFFOCATION’’

Abstract

Asphyxia is one of the causes of unintentional injury. It causes death in young children when the airways become blocked. Here is presented 4 month-old baby in the Pediatric Emergency Department who has complaints of cyanosis and inability to breath and is diagnosed suffocation due to plastic bag. This is very important to ask mechanical factors that may cause airway obstruction in a patient with unexplained clinical status with history, physical examination and laboratory results. Asphyxiation with plastic bag is not common in children and it is due to shopping bags found in homes. In conclusion, suffocation can be prevented with training of families

Keywords

• Asphyxia, child, plastig bag, suffocation

References

1. www.kidssafe.com.au/Default.aspx?SiteSearchID=-18ID=/sitese- arch.html (erişim tarihi: 30.06.2011)
2. Nixon JW, Kemp AM, Levene S, Sibert JR. Suffocation, choking, and strangulation in childhood in England and Wales: epidemilogy and prevention. Arch Dis Child 1995;72(1):6-10.
3. Commitee on injury, violence and poison prevention. Policy Statement-Prevention of Choking Among Children. Pedaitrics 2010;125(3):601-7.
4. Saint –Martin P, Prat S, Bouyssy M, O’Byrne P. Plastic bag asphyxia-A case report. Journal of Forensic and Legal Medicine 2009;16:40-3.
5. Perez Martinez AL, Chui P, Cameron JM. Plastic bag suffocation. Med Sci Law 1993; 33(1):71-5.
6. Harrington C, Kirjavainen T, Teng A, Sullivan CE. Altered Au- tonomic Function and Reduced Arousability in Apparent Life- Threatening Event Infants with Obstructive Sleep Apnea. Am J Respir Crit Care Med 2002;165(8):1048-54.
7. Stratton SJ, Taves A, Lewis RJ, Clements H, Henderson D, McCol- lough M. Apparent life-threatening infants presenting to an emer- gency department. Ann Emerg Med 2004;43(6):711-7.
8. Gray C, Davies F, Molyneux E. Apparent life-threatening infants presenting to a pediatric emergency department. Pediatr Emerg Care1999;15:195-9.

9. Berg MD, Nadkarni VM, Gausche-Hill M, et al. Chapter 8: Pedi- atric Resuscitation. Editors: Adams JG, Barsan GW, Biros MH, et al. Marx: Rosen’s Emergency Medicine 7th ed. Philadelphia 2009; pp: 64-76
10. Hymel KP and the American Academy of Pediatrics Committee on Child Abuse and Neglet and National Association of Medical Exa- miners: Distinguishing sudden infant death syndrome from child abusa fatalities. Pediatrics 2006;118(1):421-7.
11. Jones LS, Wyatt JP, Busuttil A. Plastic bag asphyxia in Southeast Scotland. Am J Forensic Med Pathol 2000;21(4):401-5.
12. Murphy SL. Deaths: final data for 1998. Natl Vital Stat Rep 2000; 48(11):1-105.
13. Vatansever U, Duran R, Yolsal E, Aladağ E, Öner N, Biner N, et al. Pediatrik acilde çocuk istismarı ve ihmali olasılığını akılda tutalım. Türk Ped Arş 2004;39:120-4.
14. Beyazova U, Şahin F. Çocuk İstismarı ve ihmaline yaklaşımda has- tane çocuk koruma birimleri. Türk Ped Arş 2007; 42 Özel sayı: 16-8.