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儿童期异物吸入:一项回顾性研究。

Foreign body aspirations in childhood: A retrospective review.

作者信息

Ekim Ayfer, Altun Aslıhan

机构信息

Faculty of Health Sciences, Department of Pediatric Nursing, Istanbul Arel University, Istanbul, Turkey..

Graduate Education Institute, Istanbul Arel University, Istanbul, Turkey.

出版信息

J Pediatr Nurs. 2023 Sep-Oct;72:e174-e178. doi: 10.1016/j.pedn.2023.06.025. Epub 2023 Jun 22.

Abstract

OBJECTIVE

The aim of this study was to examine the childhood-age foreign body aspiration (FBA) retrospectively by focusing on symptoms, types, home interventions, hospitalization and complications.

METHOD

All patients between 0-18 years admitted to pediatric surgical clinic and diagnosed with FBA were examined retrospectively from January 2021 to January 2022.

RESULTS

The study group consisted of 163 patients and their mean age was 17.8±12.7 months (1 months to 6 years). FBA events included aspiration of food (78%), coins (10%), batteries (3.7%), parts of toys (4%), buttons (2.4%) and other (2%). First aid treatment to children was performed at home by mothers (61%). Types of first aid treatment performed by mothers included tapping the back (31%); cleaning inside the mouth (24%); trying to remove the foreign body with fingers (12%), pushing the foreign body forward (5.9%) and forcing the child to vomit (9.5%) respectively.

CONCLUSIONS

FBA is a potential life-threatening health problem during childhood. When the age of majority of patients being under one year old and prevalence of food in FBA types are taken into consideration, safe-feeding practices of mothers, feeding position and training about the safe-environment are the basic steps of prevention strategies.

PRACTICE IMPLICATIONS

One of the most useful ways of preventing FBA cases is to provide planned and continuing education to parents, care givers and all the individuals responsible for the care of the child in order to increase their knowledge and practice levels.

摘要

目的

本研究旨在通过关注症状、类型、家庭干预、住院情况及并发症,对儿童期异物吸入(FBA)进行回顾性研究。

方法

回顾性分析2021年1月至2022年1月间收治于小儿外科门诊且诊断为FBA的所有0至18岁患者。

结果

研究组共163例患者,平均年龄为17.8±12.7个月(1个月至6岁)。FBA事件包括食物吸入(78%)、硬币(10%)、电池(3.7%)、玩具部件(4%)、纽扣(2.4%)及其他(2%)。61%的儿童在家中由母亲进行急救处理。母亲实施的急救处理类型包括拍背(31%);清理口腔内部(24%);尝试用手指取出异物(12%)、将异物向前推(5.9%)以及强迫孩子呕吐(9.5%)。

结论

FBA是儿童期潜在的危及生命的健康问题。考虑到大多数患者年龄在一岁以下以及FBA类型中食物的高占比,母亲的安全喂养习惯、喂养姿势以及关于安全环境的培训是预防策略的基本步骤。

实践意义

预防FBA病例最有效的方法之一是为家长、护理人员及所有负责照顾儿童的人员提供有计划的持续教育,以提高他们的知识水平和实践能力。

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