Çocukluk Çağında Yabancı Cisim Aspirasyonları

Year 2010, Volume: 4 Issue: 2, 119 - 128, 01.08.2010

Sevgi Pekcan Ayşe Tana Aslan

Abstract

Yabancı cisim aspirasyonları çocukluk çağında sık görülür ve ani çocuk ölümleri arasında önemli yer tutar. Üç yaş altında ve erkek çocuklarda daha sık rastlanır. Ani başlayan öksürük, hışıltı ve tek taraflı azalmış solunum sesleri en sık görülen bulgulardır. Radyolojik görüntüler tanısal olmasa da tek taraflı amfizem ve atelektazi en önemli bulgulardır. Belirgin öykü vermeyen hastalarda tanı gecikebilmektedir. Trakeobronşiyal yabancı cisimlerde tedavi acildir. Şüphelenilen vakalarda bronkoskopi yapılmalıdır. Koruyucu önlemler yabancı cisim aspirasyon insidansını azaltmaktadır.

Keywords

Yabancı cisim aspirasyonu, bronkoskopi, çocuk

FOREIGN BODY ASPIRATION IN CHILDHOOD

Abstract

Foreign body aspiration is the most frequent problem during childhood. It is among the most common reasons of unexpected childhood deaths. It is more frequent in children younger than 3 years of age, predominantly boys. Sudden onset of cough, wheezing and decreased breath sounds are the most common signs and symptoms of foreign body aspiration. Radiographical findings are not diagnostic, but the presence of unilateral obstructive emphysema or atelectasis is important clues. Careful and detailed history is essential not to cause delay in diagnosis. Treatment is very important for the aspirated tracheobronchial foreign bodies. Bronchoscopic procedure must be performed if there is a suspicion of foreign body aspiration. Routine preventive measures must be taught to caregivers in order to reduce the incidence

Keywords

Foreign body aspiration, bronchoscopy, child

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