[Broncho-pulmonary complications due to aspiration of foreign bodies by children].
The paper describes 239 children with bronchopulmonary disease due to foreign body (f.b.) aspiration treated in our center during between 1980-1992. Twenty-eight percent of the cases had been referred to hospital without any suspicion of f.b. aspiration. Almost half of the children (49.7%) were below the age of 2 years. Boys were affected more often (61.5%) than girls. In 61.1% the cases the f.b. had been aspirated into the right bronchial tree. Pieces of nuts were the most common f.b. - 35.1%. The most common chest X-ray symptoms were disturbances of bronchial patency (74.1%). Non-metalic, but potential shadowing f.b. like bones and teeth gave the clear signs only in 17.6% of the cases. After f.b. aspiration chronic irreversible lesions such as bronchiectasis and lung fibrosis were observed in 18.8% of the children. The prevalence of bronchiectasis was proportional to the duration of deposition. If the f.b. had been removed within the first month after aspiration we observed no complications. After aspiration of ears of grain, bronchiectasis was present in 80% of cases. Aspiration of f.b. into the left bronchial tree very often caused ventilation disturbations. Such cases were diagnosed and treated earlier than cases of right side f.b. aspirations. As a consequence bronchiectasis in the left lung was observed 2.7 less frequently.
Pogorzelski
A
A
Zespół Pediatryczny Instytutu Gruźicy i Chorób Płuc w Rabce.
Zebrak
J
J
Pawlik
J
J
Cherian
Z
Z
Buchwald
J
J
D001980:Bronchi; D001987:Bronchiectasis / Q000209:etiology; D001999:Bronchoscopy; D002675:Child, Preschool; D005260:Female; D005547:Foreign Bodies / Q000175:diagnosis*; D006801:Humans; D007223:Infant; D001239:Inhalation; D008297:Male; D011658:Pulmonary Fibrosis / Q000209:etiology; D012189:Retrospective Studies; D012737:Sex Factors
Powikłania oskrzelowo-płucne w wyniku aspiracji ciał obcych u dzieci.