Aspirasi Jarum Pentul yang Tertanam 10 Hari di Bronkus Kanan Seorang Remaja

Isnu Pradjoko, Irmi Syafa’ah, Aries Subianto

= http://dx.doi.org/10.20473/jr.v3-I.2.2017.47-51
Abstract views = 125 times | views = 490 times

Abstract


Background: Foreign bodies can come from outside the body (exogenous) and in the body (endogenous). Foreign bodies can cause total obstruction resulting in atelectasis or partial obstruction with emphysema. Case: A 14-year-old girl with a cough with phlegm mixed with blood spots one day before admission. Patients swallowed needle 10 days ago while wearing jilbab while joking at school. Chest X-rays appear density of a metal with a long straight form of about 3.5 cm projected in the lower right hemitorac. Discussion: Performed Fiber Optic Bronchoscopy (FOB) with diagnostic and therapeutic indications for picking up foreign objects. In patients there is minimal bleeding post extraction pentul needle. Bleeding can be overcome by administering a cold sterile NaCl solution to the airway. Thoracotomy is not performed on the patient because the needle can be taken using FOB. Conclusion: Foreign bodies of the airways can be harmful. The needle extraction using FOB can rule out the need for thoracotomy in patients.


Keywords


Needle, Foreign bodies, Bronchoscopy, Thoracotom

Full Text:

PDF

References


Toliver R, Hana S. Airway foreign body: e Med J, 2002.

Hilliard T, Sim R, Saunders M, et al. Delayed diagnosis of foreign body aspiration in children. Emerg Med J 2003; 20: 100–101.

Rab T. Prinsip Gawat Paru: EGC Jakarta, 1996; 149–162.

Rasmin M. Prosedur Tindakan Bidang Paru dan Pernapasan Diagnostik & Terapi: Bagian Pulmonologi FKUI Jakarta, 2001; 17–19.

EM W. Foreign Body Aspiration: E Medicine, 2006; 01-09.

Gold SJ. Anaesthesia for adult bronchoscopy. The Royal College of Anaesthetists 2000; 3: 113–116.

Mahmood KA. Retrospective Review of Foreign Body Inhalation in the Asia Region, 1997; 01–03.

Callender T. Laryngo-tracheo-bronchial Foreign Body, 1992; 01–05.

Gurpmar A, Kilic N, Dogruyol H. Foreign Body Aspiration in Children. Turkish Respiratory Journal 2003; 4: 131–134.

Narasimhan KL, Chowdhary SK, Suri S, et al. Foreign body airway obstructions in children: lessons learnt from a prospective audit. J Indian Assoc Pediatr Surg 2002; 7: 184–189.

Lillington GA. Clinical Thoracic Anatomy, 1988; 01–17.

Michael P. Foreign Bodies of the Respiratory Tract. The Internet Journal of Emergency Medicine 2004; 2:01–13.

Eroglu A, Kurkcuoglu IC, Karaoglanoglu N, et al. Tracheobronchial foreign bodies: a 10 year experience. Turkish Journal of Trauma & Emergency Surgery 2003; 9: 262–266.

Srppnath J, Mahendrakar V. Management of tracheo bronchial foreign bodies-a retrospective analysis. Indian J Otolaryngol Head Neck Surg 2002; 54: 127–131.

Merchant SN, Kirtane MV, Shah KL, et al. Foreign bodies in the bronchi (a 10 year review of 132 cases). J Postgrad Med 1984; 30: 219-223

Samarei R. Survey of Foreign Body Aspiration in Airways and Lungs. Global Journal of Health Science 2014; 6: 130–135.

Salih AM, Alfaki M, Alam-Elhuda DM. Airway foreign bodies: A critical review for a common pediatric emergency. World J Emerg Med 2016; 7: 5–12.

Lin L, Lv L, Wang Y, et al. The clinical features of foreign body aspiration into the lower airway in geriatric patients. Clinical Interventions in Aging 2014; 9: 1613–1618.

Baratawidjaja K. Inflamasi: Imunologi Dasar, 2004; 153–171.

Lakhkar BB, Kini P, Shenoy V, et al. Foreign body aspiration: Manipal experience. Indian Pediatr 2000; 37: 193–195.

Prosedur Tetap Pelayanan Tindakan Medis Kegiatan Non Medis di Unit Perawatan Penyakit Paru: UPF/Lab Ilmu Penyakit Paru FK UNAIR/RSU Dr. Soetomo Surabaya, 1997; 01–04.

Kikuchi R, Isowa N, Tokuyasu H, et al. Intraoperative migration of a nail from the left B10b to the main bronchus. Interactive Cardio Vascular and Thoracic Surgery 2007; 6:92-93

Schembri K, Serafimov V, Montefort S, et al. Empyema thoracis caused by a foreign body inhaled 30 years previously. Interact Cardiovasc Thorac Surg 2003; 2: 581-583

Swanson KL, Prakash UB, Midthun DE, et al. Flexible bronchoscopic management of airway foreign bodies in children. Chest 2002; 121: 1695–1700.


Refbacks

  • There are currently no refbacks.


Copyright (c) 2019 Jurnal Respirasi

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

View My Satats

Indexed by: