Sahadan Dayang Zuraini, Zainudin Norzila Mohamad, Kassim Asiah, Zahari Zakaria, Mahadzir Mazlinda, Daud Che Zubaidah Che, Mohammad Noryati
Hospital Kuala Lumpur, Paediatric, Jalan Pahang, Kuala Lumpur, Wilayah Persekutuan 50586, Malaysia.
Med J Malaysia. 2011 Dec;66(5):484-6.
A retrospective case series was conducted to determine the clinical characteristics and bronchoscopy findings of children with foreign body aspiration in Paediatric Institute, Hospital Kuala Lumpur. Ten boys and two girls were included (range 2-177 months; median 26 months old). They commonly presented with cough (12/100%) and difficulty in breathing (9/75%). All patients had unilateral auscultatory findings and the commonest radiographic findings were unilateral hyperinflation (7/58.3%). The majority of foreign bodies removed was organic (8/66.6%) and more frequently found in the left bronchial tree (7/58.3%). Major complications were pneumonia (11/91.6%) and airway oedema (11/ 91.6%). Eight patients had delayed diagnosis due to parents unawareness (6/50%) and missed diagnosis (2/16.7%).
在吉隆坡医院儿科研究所开展了一项回顾性病例系列研究,以确定儿童异物吸入的临床特征和支气管镜检查结果。纳入了10名男孩和2名女孩(年龄范围2至177个月;中位年龄26个月)。他们常见的症状为咳嗽(12例/100%)和呼吸困难(9例/75%)。所有患者均有单侧听诊异常,最常见的影像学表现为单侧肺过度充气(7例/58.3%)。取出的异物大多数为有机物(8例/66.6%),且更常见于左支气管树(7例/58.3%)。主要并发症为肺炎(11例/91.6%)和气道水肿(11例/91.6%)。8例患者因家长未意识到(6例/50%)和漏诊(2例/16.7%)而导致诊断延迟。