Zaghba N, Benjelloun H, Bakhatar A, Yassine N, Bahlaoui A
Service des Maladies Respiratoires, CHU Ibn Rochd, Casablanca, Maroc.
Rev Pneumol Clin. 2013 Apr;69(2):65-9. doi: 10.1016/j.pneumo.2012.09.003. Epub 2013 Jan 21.
Inhalation of foreign bodies is rare in adults. Inhalation of scarf pin is a phenomenon more frequent in the female population in Morocco. The aim of our study was to describe the characteristics of this particular foreign body and illustrate the circumstances and consequences of its inhalation.
Twenty-six young patients, all veiled, were hospitalized in the service of Respiratory Diseases University Hospital Ibn Rushd of Casablanca between January 2005 and July 2011 for inhaled scarf pin.
The mean age was 16 years. Inhalation was accidental in all cases, whereas patients initiated to wear the veil. The penetration syndrome was found in all cases. Clinical examination was normal in all patients. The chest X-ray showed the foreign body as a linear opacity, located right in 18 cases and left in eight cases. Flexible bronchoscopy was able to extract the pin in 21 cases. The pin was released spontaneously in three cases and two patients were operated on.
The scarf pin is a foreign body especially more common in women who wear the Islamic veil. Flexible bronchoscopy is an essential means of therapy, but the best preventive treatment is avoiding to put in the mouth sharp objects.
成人吸入异物较为罕见。吸入围巾别针在摩洛哥女性人群中更为常见。我们研究的目的是描述这种特殊异物的特征，并阐明其吸入的情况及后果。
2005年1月至2011年7月期间，26名均戴面纱的年轻患者因吸入围巾别针入住卡萨布兰卡伊本·鲁世德大学医院呼吸疾病科。
平均年龄为16岁。所有病例吸入均为意外，当时患者刚开始戴面纱。所有病例均发现穿透综合征。所有患者临床检查均正常。胸部X线显示异物为线状不透光区，18例位于右侧，8例位于左侧。21例患者通过可弯曲支气管镜取出别针。3例别针自行排出，2例患者接受了手术。
围巾别针是一种异物，在戴伊斯兰面纱的女性中尤为常见。可弯曲支气管镜是一种重要的治疗手段，但最佳的预防措施是避免将尖锐物体放入口中。
