THE EVALUATION OF FOREIGN BODY ASPIRATION CASES APPLIED TO THE EMERGENCY DEPARTMENT
Objective: Foreign body (FB) aspirations are mostly seen in infants who like taking objects into their mouth and in preschool children. The diagnosis of FB aspiration was based on history, clinical and radiological findings. In this study, we aimed to evaluate cases of FB aspiration who applied to Dicle University Hospital’s Emergency Department between January and December 2000.
Method: Patients were evaluated in two groups according to their ages. The first group was the children group (CG), including children at 9 years of age or younger; the second group included patients older than 9 years and was called the adult group (AG). Of the 44 patients evaluated, 24 (54.5%) were female and 20 (45.5%) were male (p>0.05).
Results: The average ages were 3.4±1.8 (range 1-9) years in CG and 24.3±13.2 (range 14-60) years in AG. 32 patients (72.7%) were in the children group (p=0.003). The most important symptoms were breathlessness and coughing in CG, whereas breathlessness, coughing, abdominal pain and gasping for breathing were the main symptoms in AG. Physical examination revealed unilaterally decreased breathing sounds in 11 patients of CG. Localized foreign bodies (FB) were detected with x-rays in 22 (68.7%) patients of CG and 7 (58.3%) patients of AG. According to localization, the foreign bodies were found mostly in the first narrowing of esophagus (n=20, 45.4%) and secondly, in the right main bronchus (n=13, 29.5%), while 4 of them (9%) were located in the trachea and 3 (6.8%) in the stomach (p<0.0001). The types of FB in our cases were mostly coins in CG (n=18, 56.2%) and sharp bodies in AG (n=9, 75%) (P=0.0001).
Conclusion: Consequently, the most swallowed foreign bodies were found to be coins in children so in production, it is necessary to give importance to size of coins in order not to cause aspirations.