Abduljabbar Mustafa A, Jabir Sabah N, Ahmed Okba F, Kakamad Fahmi H, Salih Abdulwahid M, Mikael Tomas M, Mohammed Shvan H, Hassan Hunar A, Hussein Dahat A, Mustafa Mohammed Q, Salih Rawezh Q, Omar Diyar A
Mosul Teaching Hospital, Mosul, Kurdistan, Iraq.
Al Shahid Ghazi Al Hariri Hospital, Baghdad Medical City, Baghdad, Iraq.
Ann Med Surg (Lond). 2020 Dec 29;62:73-75. doi: 10.1016/j.amsu.2020.12.044. eCollection 2021 Feb.
Pin inhalation is an accidental entry of a pin into the respiratory passages. This study aims to shed the light on pin inhalation as a hazard and show the magnitude of such preventable thoracic problem and determine the safest method of management.
This is a retrospective single center case series, conducted during 18 month period from January 2016 to April 2017, All patients with pin inhalation had been collected and analyzed according to the age, gender, time between aspiration to presentation and symptoms and signs, number of attempts, bronchoscopic or open removal of the pins with complications.
The total number of patients in this study was 162. The mean age was 11years. Pin inhalation accident was more common in patients less than 10 years in males and less than 20 years in females. The most common gender was female (73%). The most common presenting symptom was cough (54%). The left tracheobronchial tree was the most common site for pin lodgment 107 (67.3%) followed by the right side 23 (14.4%). The majority of the pins were extracted in one piece (94%). Thoracotomy was done in one patient, no death reported.
Sharp pin inhalation is a serious hazard and can have lethal outcome. History is the major parameter to start the diagnosis of pin inhalation and radiography is the gold standard to confirm the diagnosis.
别针吸入是指别针意外进入呼吸道。本研究旨在阐明别针吸入这一危害，揭示此类可预防的胸部问题的严重程度，并确定最安全的处理方法。
这是一项回顾性单中心病例系列研究，在2016年1月至2017年4月的18个月期间进行。收集了所有别针吸入患者的资料，并根据年龄、性别、误吸至就诊的时间、症状和体征、尝试次数、通过支气管镜或开放手术取出别针的情况以及并发症进行分析。
本研究中的患者总数为162例。平均年龄为11岁。别针吸入事故在男性小于10岁和女性小于20岁的患者中更为常见。最常见的性别是女性（73%）。最常见的症状是咳嗽（54%）。别针最常嵌顿的部位是左主支气管树，有107例（67.3%），其次是右侧，有23例（14.4%）。大多数别针是完整取出的（94%）。有1例患者接受了开胸手术，无死亡报告。
尖锐别针吸入是一种严重危害，可能导致致命后果。病史是启动别针吸入诊断的主要参数，而放射学检查是确诊的金标准。
