Shafi Muhammad, Suhail Zahid, Ashrafi Syed Khalid Ahmed, Sajjad Syed Muhammad Qaisar
Department of ENT, Liaquat University of Medical & Health Sciences, Jamshoro, Hyderabad.
J Pak Med Assoc. 2012 Sep;62(9):896-9.
To assess the common foreign bodies in urban areas of Sindh, and the presentation, problems and complications during their removal through rigid bronchoscopy.
The descriptive study was conducted at the Ear, Nose and Throat Department and the Department of Head and Neck Surgery of Liaquat University Hospital, Hyderabad, and Abbasi Shaheed Hospital, Karachi, from April 2009 to October 2010. Fifty patients with strong suspicion of foreign body inhalation in whom rigid bronchoscopy was done were included in the study. A definitive diagnostic protocol was applied and rigid bronchoscopy was done to search and remove the foreign bodies. The data was fed into SPSS version 15 for descriptive analysis.
In our study,28(56%) cases were male and 22(44%) were female. The age range was 1-7 years. Most of the victims (n=21; 42%) were over 3 years of age. Commonest symptom of presentation was dyspnoea (n=34; 68%) and the commonest sign of presentation was decreased unilateral air entry (n=25; 50%). Most of the foreign bodies were impacted in the right main bronchus (n=26; 52%). The most retrieved foreign body was betel nut (n=23; 46%). The commonest complication of bronchoscopy was airway oedema which occurred in 13 (26%) patients. The successful removal of exogenous foreign body was achieved in 41 (82%), and the mortality rate was 3 (6%).
Delay in the diagnosis of foreign body inhalation translates into a higher risk of complications. Therefore, early bronchoscopy should be done on suspicion. Early recognition at both parental and clinical levels should be promoted through public awareness.
评估信德省市区常见的异物，以及通过硬质支气管镜取出异物过程中的表现、问题和并发症。
2009年4月至2010年10月，在海得拉巴利亚卡特大学医院耳鼻喉科和头颈外科以及卡拉奇阿巴西·谢赫德医院开展了这项描述性研究。纳入50例高度怀疑有异物吸入且接受了硬质支气管镜检查的患者。应用了明确的诊断方案，并进行硬质支气管镜检查以寻找和取出异物。将数据录入SPSS 15版进行描述性分析。
在我们的研究中，28例（56%）为男性，22例（44%）为女性。年龄范围为1至7岁。大多数受害者（n = 21；42%）年龄超过3岁。最常见的症状是呼吸困难（n = 34；68%），最常见的体征是单侧呼吸音减弱（n = 25；50%）。大多数异物嵌顿在右主支气管（n = 26；52%）。取出最多的异物是槟榔（n = 23；46%）。支气管镜检查最常见的并发症是气道水肿，13例（26%）患者出现该并发症。41例（82%）成功取出了外源性异物，死亡率为3例（6%）。
异物吸入诊断延迟会导致更高的并发症风险。因此，一旦怀疑应尽早进行支气管镜检查。应通过提高公众意识促进家长和临床层面的早期识别。
