KHẢO SÁT TÌNH HÌNH DỊ VẬT ĐƯỜNG THỞ TRẺ EM TẠI BỆNH VIỆN NHI ĐỒNG 1 TỪ NĂM 2018 ĐẾN NĂM 2023

Abstract

Objectives: To describe clinical characteristics, radiology, type of airway foreign body and results of endoscopic airway foreign body removal of pediatric patients at N⁰1 Pediatric Hospital in 5 years from January 2018 to January 2023. Subjects and methods: A cross-sectional study describing 72 pediatric patients diagnosed with foreign bodies airway and treated at N⁰1 Pediatric Hospital. Results: The rate of male patients (61%) is nearly twice that of female patients (39%); 75% of pediatric patients aged 1 to 6 years; 81.9% of pediatric patients were mentally alert on admission. Clinical symptoms include: 87.5% of pediatric patients had cough; dyspnea 52.8%; penetration syndrome 41.7%; hoarseness 33.3%. Clinical features include: atelectasis 15.3%; Pneumothorax 15.3%; Pneumonia 1.4%. Type of airway foreign body: 45.8% were organic plants, 26.4% of animal origin, 5.6% were metals, 20.8% were plastics. There was 1 case (1.4%) that the airway foreign body could not be identified. The average time to remove airway foreign body was 26.1 ± 17.6 minutes; 98.6% of pediatric patients were successfully intervened to remove foreign bodies by endoscopic. Conclusion: The airway foreign body is a common emergency with many different causes, and if not treated promptly, it can lead to serious complications and death. It is necessary to propagate and educate knowledge on prevention of airway foreign bodies, signs to recognize and primary care for children at home and school.