Hasdiraz L, Bicer C, Bilgin M, Oguzkaya F
Department of Thoracic Surgery, Erciyes University Medical Faculty, Kayseri, Turkey.
Thorac Cardiovasc Surg. 2006 Jun;54(4):273-5. doi: 10.1055/s-2006-923954.
Foreign body aspiration is rare in adults. However, in recent years, the aspiration of pins which are used for securing turbans (headscarves) is seen frequently in young women. The aim of this article was to review 105 patients who were admitted to our hospital for turban pin aspiration.
Chest X-rays were used for diagnosis. Various methods of treatment were performed: laryngoscopy in 6 patients, flexible fiberoptic bronchoscopy in 16, rigid bronchoscopy in 93, and thoracotomy in one patient, while in the other patient the turban pin was spontaneously expectorated.
Localization of the pin in the right bronchial system was common (52%). In 6 patients, turban pins located in the larynx were extracted successfully by direct laryngoscopy. Turban pins were successfully removed with a flexible fiberoptic bronchoscope in 4 patients of the 16 (25%) and by rigid bronchoscope in 93 patients of 94 (99%). The average time until discharge was 18 hours and there was no mortality.
Turban pin aspiration is common in Islamic populations and treatment usually requires bronchoscopic procedures. In order to minimize turban pin aspiration frequency, we recommend that turbans should be secured by traditional fastening methods or with an apparatus which cannot be aspirated.
成人误吸异物较为罕见。然而，近年来，年轻女性中误吸用于固定头巾的大头针的情况屡见不鲜。本文旨在回顾105例因误吸头巾大头针而入住我院的患者。
采用胸部X线进行诊断。实施了多种治疗方法：6例患者接受了喉镜检查，16例接受了纤维支气管镜检查，93例接受了硬质支气管镜检查，1例接受了开胸手术，另有1例患者的头巾大头针自行咳出。
大头针位于右支气管系统较为常见（52%）。6例位于喉部的头巾大头针通过直接喉镜检查成功取出。16例中的4例（25%）通过纤维支气管镜成功取出头巾大头针，94例中的93例（99%）通过硬质支气管镜成功取出。出院前的平均时间为18小时，无死亡病例。
头巾大头针误吸在穆斯林人群中较为常见，治疗通常需要支气管镜检查。为了尽量减少头巾大头针误吸的频率，我们建议用传统固定方法或使用不会被误吸的器具来固定头巾。
