Presentation And Management Of Neglected Inhaled Foreign Body At Sohag University Hospital
试验速览
- 阶段
- 不适用
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Assessment of different pictures of clinical presentations in neglected inhaled foreign body.
研究概览
简要总结
Delayed presentation is not uncommon in children and may have been treated as asthma due to associated with low-grade cough and noisy breathing.
Late diagnoses of foreign body aspiration were defined as occurring beyond 3 days after the aspiration of the foreign body, or onset of symptoms.
Undiagnosed foreign body aspiration can cause mechanical effects, chemical reactions, and the most common complications were pneumonia, asthma, lung collapse, bronchiectasis, emphysema, mediastinal shift, atelectasis and lung abscess. Long-term presence of FBs in the bronchus may lead to bronchial stenosis
详细描述
A foreign body is an endogenous or exogenous substance, different from the anatomy of the site where it is found. Chevalier Jackson defined a foreign body as "an object or a substance that is foreign to its location".
Aspiration of a foreign body (FB) is a potentially life-threatening emergency and 75% of cases occur in children younger than 3 years of age, due to the absence of molar teeth, underdeveloped swallowing coordination and the tendency to talk and play while eating .
However, foreign body aspiration does happen in adults and elderly people as well.
Obtaining a good history plays a vital role in effectively diagnosing a foreign body aspiration. Three clinical phases of aspiration of foreign bodies are recognized: The first stage is the impaction of the foreign body and entitled "penetration syndrome," defined as a sudden onset of choking and intractable cough with or without vomiting.
In the second stage, these symptoms diminish as the foreign body settles into a stationary location and the tracheoesophageal reflexes tire out; this asymptomatic stage can last hours to weeks, which may delay diagnosis. In the third phase, Complications occur (also defined as Complications phase), when obstruction, erosion or infection cause pneumonia, atelectasis, abscess or fever. The first presentation of the condition may actually represent a complication of inhaled foreign body.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Retrospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients who were diagnosed with neglected inhaled foreign body who underwent bronchoscopy in sohag university hospital, all ages, both Gender.
排除标准
- •Patients who were diagnosed with recent inhaled foreign body.
结局指标
主要结局
Assessment of different pictures of clinical presentations in neglected inhaled foreign body.
时间窗: 3 months from August to December 2021
This is a retrospective study that will be conducted in our tertiary center "Sohag University Hospital", will include cases of neglected inhaled foreign bodies in the period from June 2016 to June 2021, the medical records of patients who underwent bronchoscopy for suspected neglected foreign body aspiration will be reviewed. Assessment of different pictures of clinical presentations by reviewed symptoms and signs for the cases.
Determination of types of complications in neglected inhaled foreign body.
时间窗: 3 months from August to December 2021
This is a retrospective study that will be conducted in our tertiary center "Sohag University Hospital", will include cases of neglected inhaled foreign bodies in the period from June 2016 to June 2021, the medical records of patients who underwent bronchoscopy for suspected neglected foreign body aspiration will be reviewed. Determination of types of complications in neglected inhaled foreign body.
Determination of different types of management plans in neglected inhaled foreign body.
时间窗: 3 months from August to December 2021
This is a retrospective study that will be conducted in our tertiary center "Sohag University Hospital", will include cases of neglected inhaled foreign bodies in the period from June 2016 to June 2021, the medical records of patients who underwent bronchoscopy for suspected neglected foreign body aspiration will be reviewed. Determination of different types of management plans by rigid or flexible bronchoscopic findings, including the type and the location of the foreign body
次要结局
未报告次要终点
研究者
Abdallah Mohamed Ahmed
resident
Sohag University