TRAKEOBRONŞİYAL YABANCI CİSİM ASPİRASYONLARI

Öz

Bu çalışmada, İzmir Dr. SS Göğüs Hastalıkları ve Cerrahisi Eğitim ve Araştırma Hastanesi, I. Göğüs Cerrahisi Kliniğinde 1989-2001 yılları arasında yabancı cisim aspirasyonu tanılı 50 olgu incelendi. Otuzbiri (% 62) kadın, 19'u (% 38) erkek idi. Yaş ortalaması 20,8 (yaş aralığı 10 ay-82 yaş) idi. Aspirasyon hikayesi ile tedavi arasındaki süre 2 saat ile 9 yıl arasında değişmekteydi. Tanı, hikaye, fizik muayene, radyolojik yöntemler, bronkoskopi ve torakotomi ile konuldu. Yabancı cisim, 27 (%54) olguda sağ bronşial ağaçta, 19'unda (%38) solda ve 4'ünde (%8) trakea yerleşimli idi. En sık aspire edilen yabancı cisim 23 vaka (%46) ile iğne veya türban iğnesi idi. 33'ünde (%66) rigid bronkoskopi ile yabancı cisim çıkartılırken, 17'sinde (%34) torakotomi gerekti. Geç dönemde başvuran 5 (%10) olguda gelişmiş olan irreversibl komplikasyonlar nedeni ile pulmoner rezeksiyon uygulandı. Morbidite ve mortalite izlenmedi.

Anahtar Kelimeler

• Trakeobronşial ağaç, yabancı cisim, aspirasyon

TRACHEABRONCHİAL FOREIGN BODIES ASPIRATIONS

Abstract

In this report, 50 cases have been examined for aspiration of foreign bodies in the 1st Thoracic Surgery Department of Izmir Dr.SS Thoracic Diseases and Surgery Training Hospital between 1989-2001. Thirtyone (62%) patients were females and 19 (38%) were males. The mean age of cases were 20,8 whose ranged from 10 months to 82 years. The period between aspiration and treatment varied from 2 hours to 9 years. Diagnosis was made on history, physical examination, radiological methods, bronchoscopy and thoracotomy. Twentyseven (54%) of the foreign bodies were located in the right bronchial tree, 19 (38%) were in the left and 4 (8%) were in the trachea. The most frequently aspirated foreign body was pin or turban pin. Foreign bodies were removed with bronchoscopy in 33 (66%) cases. Seventeen (34%) cases underwent thoracotomy. In the late period, pulmonary resection was performed in 5 (10%) cases because of irreversible complications. There were no complications and mortality in this group.

Keywords

• Tracheobronchial tree, foreign body, aspiration

Kaynakça

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