Descriptive Study of Foreign Body Aspiration in Children, Surin Hospital
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Abstract
Background: Annual mortality from foreign body aspiration in children was about 2% or 80 cases of total 3,000 cases. Foreign body aspiration considered as emergency medical condition according to obstruction of larynx and trachea may causes apnea and death within four minutes. Foreign body aspiration is uncommon but important and cause to death. This study therefore reviews cases of foreign body aspiration to a comprehensive clinical manifestation and early appropriate intervention. Consequently decrease mortality rate and complication of foreign body aspiration.
Objective:
1. To describe the epidemiology of foreign body aspiration in children.
2. To review clinical manifestation.
3. Radiologic study of airways.
4. Location and material found including treatment and complications of foreign body aspiration in department of Otolaryngology department, Surin hospital.
Material and method: A retrospective review of medical records during October 2007 to November 2009; in which fifteen children diagnosed with acute upper airway obstruction. All of them were found foreign bodies in the larynx and tracheobronchial tree area.
Result: Nine from fifteen patients were male and mostly of them aged between 1 to 3 years. 53.33% of patients were sent to hospital setting within one day and 33.33% of these had apparent history of aspiration. Patients presented with cough, dyspnea and fever. Physical examination found 96.37% had subsequent respiratory symptoms; which of these rhonchi and crepitation were commonly found (33.33%). Foreign body materials found fruit seeds 53.33% and mostly located in right main bronchus area (86.66%). Two patients had complication of aspirated pneumonia which prolong hospital length of stay (average 4.66 days) but complete recovered and discharged.
Conclusion: Foreign body aspiration in children still the emergency medical problem with high risk of morbidity and mortality. Removal of foreign body needs equipment and experienced team to provide a prompt me
Key words: Foreign body aspiration Airways
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References
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