The majority of children (79,5%) admitted to the hospital during 0,5-6 hours after foreign bodies engaging (Table 1).
Time in hours
|
Children number
|
Children %
|
<0,5
|
3
|
8,5
|
1,0
|
9
|
22,5
|
2,0
|
5
|
12,5
|
3,0
|
4
|
10,0
|
4,0
|
3
|
8,5
|
6,0
|
7
|
17,5
|
7,0
|
2
|
5,0
|
8,0
|
2
|
5,0
|
24,0
|
3
|
8,5
|
72,0
|
1
|
2,5
|
>120,0
|
1
|
2,5
|
|
40
|
100,0
|
|
|
|
Table 1.
The time distribution between children admission to the hospital and foreign bodies engaging.
We combine plane x-ray (40 cases) with contrast x-ray (9 cases),
low-dose CT-scan (7 cases),
or endoscopy (37 cases) in each patient depends on the clinical situation.
Foreign bodies spontaneously passed in 13 (32,5%) and were removed in 27 (67,5%) children.
There were three main types of patient’s management with a foreign body in the pediatric hospital: 1st – the follow-up group (32,5%),
2nd – patients underwent removing of the ingested foreign bodies (65,0%),
3rd – patients underwent surgical procedures(2,5%).
The characters of ingested non-metal foreign bodies (Table 2.) were
Foreign bodies
|
Children number
|
Children %
|
Wood
|
1
|
2,5
|
Button
|
2
|
5
|
Polyethylene peace
|
2
|
5
|
Plastic toys
|
3
|
7,5
|
Nuts
|
4
|
10,0
|
Meat
|
6
|
15,0
|
Chicken or fish bone
|
6
|
15,0
|
Fruits or vegetables
|
8
|
20,0
|
Label
|
8
|
20,0
|
Total
|
40
|
100,0
|
|
|
|
Table.
2. The character of ingested non-metal foreign bodies and children quantity.
following: wood was in 1 case (2,5%),
button – 2 (5 %) cases,
peace of the
polyethylene -2 (5%) cases,
plastic toys- 3 (7,5 %) cases,
nuts (pistachio,
apricot,
cherry stones) – 4 (10,0%) cases,
meat – 6 (15,0%),
chicken or fish bones – 6 (15,0%) cases,
fruits or vegetables (apples,
pine,
melon,
potatoes,
carrots) – 8 (20,0%) cases,
label – 8 (20,0%) cases.
All the labels foreign bodies were not detected by x-ray examinations (Fig.1,
Fig.2).
With regards to complications,
we noted 6-months boy was having had radiolucent label foreign body,
minimal clinical symptoms and delay hospitalization after esophageal structure,
followed multiple endoscopies and esophageal structure dilatation during six months (Fig.3).
The majority of children – 39 cases (98%) did not have any complications.
Analyzing the age of the children in each group of patients with foreign bodies (Fig.4) we noted: children ages 10-11 months engage mainly labels or polyethylene peace (25%),
children from 20 - 35 months have had fruits or vegetables,
buttons,
meat and wood (42,5%),
children from 50 to 65 months engage plastic toys,
nuts,
chicken or fish bones (32,5%).