The place of clinic and radiologic features in the differential diagnosis of foreign body aspiration in children Çocuklarda yabanci cisim aspirasyonlarinin ayirici tanisinda klinik ve radyolojik özelliklerin yeri
Pediatrik Cerrahi Dergisi, cilt.18, sa.3, ss.124-128, 2004 (Scopus, TRDizin)
- Yayın Türü: Makale / Özet
- Cilt numarası: 18 Sayı: 3
- Basım Tarihi: 2004
- Dergi Adı: Pediatrik Cerrahi Dergisi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.124-128
- Anahtar Kelimeler: Bronchoscopy, Clinic and radiologic features, Diagnostic value, Foreign body aspiration
- Sağlık Bilimleri Üniversitesi Adresli: Hayır
Özet
Aim: Foreign body aspiration (FBA) is a dangerous and common problem in children and represents an important cause of morbidity and mortality. Diagnosis of this condition based on suggestive history, the clinical symptoms and radiographic findings. We aimed to investigate the diagnostic value of patient's history, clinical symptoms and signs, and radiological findings in the children with suspected FBA, so as to define the features which could facilitate early diagnosis. Method: A retrospective analysis was conducted in consecutive children with suspected FBA who were admitted to our department and underwent broncoscopy over a period of 3 years from June 2000 to June 2003. History, clinical, radiological data of these patients were obtained, and statistically analyzed according to broncoscopic results (chisquare test). Results: A total of 26 children, aged between 4 months and 5 years had bronchoscopy on suspicion FBA. Bronchoscopy was negative in 8 (30.8%) children. Coughing was present in all cases. In children with positive broncoscopy, the frequency of decreased air entry, wheezing, and unilateral obstructive emphysema found significantly higher compared with negative bronchoscopies (p<0.05), but fever and pneumonic infiltration on chest x-ray in the negative bronchoscopies were significantly frequent than positive bronchoscopies (p<0.05). Conclusion: Our results demonstrate that the presence of decreased air entry, wheezing and unilateral obstructive emphysema on x-ray are important clues in the diagnosis of FBA in the suspected patients even if there is no history of a chocking episode.