부산대학교 도서관

Objective: To study the clinical spectrum and outcome of foreign body aspiration in children. Study Design: Descriptive Study Place and duration of study: This study was conduction in Paediatric unit-I at Civil Hospital Hyderabad from May 2008 to May 2010 Patients and Method: During the study period 55 children's were admitted with suspected foreign body aspiration .Age cut off point was 6 year. Diagnosis was made on the basis of history, clinical features, chest radiographic evaluation and strong index of suspicion. Bronchoscopy was performed by ENT Surgeon and foreign bodies were removed under general anesthesia with rigid bronchoscope. Anti biotic and Oxygen were administered according to individual need of the patient. Result: A review of 55 children of suspected foreign body aspiration revealed that children between 1 to 6 years found to be very vulnerable for aspiration. Majority were boys (60%) and 87.27% of children had positive history of foreign body inhalation. Common symptoms were respiratory distress(89%), cough (65.45% and wheeze (47.27%). On physical examination decreased air entry (87.27 %) was significant finding. Suggestive radiographic findings were hyperinflation (65%) on the side of entrapment of foreign body and lobar collapse (26%). In 36.36% cases foreign body was lodged in right main bronchus and bettle nut was the commonest foreign body recovered in 63.63 % of cases. The mortality rate was 5.45%. Conclusion: Tracheobronchial. foreign body should be strongly suspected in children who present with sudden onset of respiratory distress or witnessing of choking episode even when radiography evidence is absent. [ABSTRACT FROM AUTHOR]