ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA DỊ VẬT ĐƯỜNG THỞ TẠI BỆNH VIỆN TRẺ EM HẢI PHÒNG NĂM 2019 - 2022

Abstract

Objective: We conducted this study with the goal: to describe some clinical and paraclinical characteristics of airway foreign bodies (AFB) in children at Hai Phong Children's Hospital in the years 2019-2022. Subjects and methods: The study described a series of cases on 30 pediatric patients diagnosed with AFB and underwent bronchoscopy at Hai Phong Children's Hospital during the study period. Results: AFB predominated in preschool age, especially in children under 3 years old. The main cause of hospitalization was foreign body inhalation (33.3%), followed by cough, wheezing (26.7%), and difficulty breathing (23.3%). Most patients had acute foreign bodies (76.7%). Intrusion syndrome was recorded at a higher rate in the acute foreign body group (82.6%). Most patients had pulmonary rales and unilateral hypoventilation. Qualitative CRP test was mainly positive in cases of forgotten foreign bodies (85.7%). Common abnormal X-ray results in patients were localized emphysema (36.7%), pneumonia (33.3%) while the rate of radiopaque foreign bodies on chest X-ray is low (2/30). Foreign bodies were often located in the right main bronchus (60%) and their material is mainly inorganic (76.7%). The most common AFB were nuts (53.3%), followed by milk and bone fragments that patients can inhale when eating. Conclusion: Parents and guardians must be aware of the dangers of AFB, and really pay attention to taking care of children, especially children under 3 years old. Bronchoscopy should be performed in qualified medical facilities as soon as possible because it is the most effective diagnostic and treatment tool for patients with suspected AFB.