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Bronchial foreign body: should bronchoscopy be performed in all patients with a choking crisis?

Abstract：

:The aspiration of a bronchial foreign body (FB) remains a common pediatric problem with serious and sometimes fatal sequelae. The diagnosis is often delayed or overlooked. With the aim of determining a reliable clinical and/or radiologic finding to indicate the requirement for bronchoscopy, 100 patients admitted to our hospital because of FB aspiration who underwent rigid bronchoscopy were retrospectively studied. The clinical and radiologic data were compared with the bronchoscopy findings, which revealed that the history of a choking crisis was the clinical parameter that showed the highest sensitivity (97%) with high specificity (63%), and that other symptoms and radiology, even those with high sensitivity (88% and 85%, respectively), had low specificity (9%). We conclude that bronchoscopy should be performed in all patients with a history of a choking crisis even if they have normal radiologic findings and few symptoms.

journal_name

Pediatr Surg Int

journal_title

Pediatric surgery international

authors

Fontoba JEB,Gutierrez C,Lluna J,Vila JJ,Poquet J,Ruiz-Company S

doi

10.1007/s003830050080

subject

Has Abstract

pub_date

1997-03-21 00:00:00

pages

118-20

issue

2/3

eissn

0179-0358

issn

1437-9813

pii

70120118.383

journal_volume

12

pub_type

杂志文章

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