Cevik Muazez, Gókdemir Mehmet Tahir, Boleken Mehmet Emin, Sogut Ozgur, Kurkcuoglu Can
Department of Pediatric Surgery, Faculty of Medicine, Harran University, Sanliurfa, Turkey.
Pediatr Emerg Care. 2013 Jan;29(1):53-7. doi: 10.1097/PEC.0b013e31827b5374.
Injury due to foreign body (FB) aspiration and/or ingestion is a common and serious pediatric emergency. Foreign body injury (FBI) most commonly occurs in children younger than 6 years, and the incidence of FBI has increased in recent years. The aim of the present study was to evaluate and compare the characteristics of FBI due to ingestion and aspiration.
Data from patients who were hospitalized for FB ingestion and/or aspiration and underwent rigid bronchoscopy and esophagoscopy from 2008 to 2011 were retrospectively evaluated. Foreign body in the upper aerodigestive tract was evaluated with respect to the characteristics of patients, clinical presentation, management strategy, the outcome, and features of FB.
A total of 192 patients admitted for FB ingestion or aspiration in the pediatric surgery department were evaluated. The mean age was 40.97 (SD, 35.73) months. The majority of patients were younger than 4 years. Foreign bodies were mainly located in the upper esophagus for ingested FBs (60.8%), whereas for aspiration 43% of FBs were in the main right bronchus. A total of 4 patients died. The hospitalization period of patients admitted for FB aspiration was longer than that of patients with FB ingestion. Surgery was performed in 4 patients. The most commonly ingested FBs were coins, whereas seeds were the most commonly aspirated.
Prevention is the key to dealing with FBIs. Because the frequency of foreign bodies is higher in underdeveloped countries, education of parents regarding the dangers and prevention of aspiration and ingestion is important.
异物吸入和/或误吞所致损伤是常见且严重的儿科急症。异物损伤最常发生于6岁以下儿童，近年来异物损伤的发生率有所上升。本研究旨在评估和比较误吞与吸入所致异物损伤的特点。
回顾性评估2008年至2011年因异物误吞和/或吸入住院并接受硬质支气管镜检查和食管镜检查的患者数据。对上呼吸道消化道异物，从患者特征、临床表现、处理策略、结局及异物特征等方面进行评估。
共评估了192例因异物误吞或吸入入住小儿外科的患者。平均年龄为40.97（标准差35.73）个月。大多数患者年龄小于4岁。误吞异物主要位于食管上段（60.8%），而吸入异物43%位于右主支气管。共有4例患者死亡。异物吸入患者的住院时间长于异物误吞患者。4例患者接受了手术。最常误吞的异物是硬币，而最常吸入的是种子。
预防是处理异物损伤的关键。由于欠发达国家异物出现频率较高，对家长进行有关误吸和误吞的危险及预防的教育很重要。
