Broncoaspiración de cuerpos extraños en la infancia. Revisión de 210 casos
Foreign body aspiration in childhood. Report of 210 cases
I. Fernández Jiménez
, C. Gutiérrez Segura, V. Álvarez Muñoz, D. Peláez Mata
Autor para correspondencia
ferjinmi@yahoo.es
: Dra. I. Fernández Jiménez. Servicio de Cirugía Pediátrica. Residencia Cantabria. Cazoña, s/n. 39011 Santander
: Dra. I. Fernández Jiménez. Servicio de Cirugía Pediátrica. Residencia Cantabria. Cazoña, s/n. 39011 Santander
Servicio de Cirugía Pediátrica. Hospital Central de Asturias. Oviedo
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Revisión de 210 casos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "335" "paginaFinal" => "338" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "I. Fernández Jiménez, C. Gutiérrez Segura, V. Álvarez Muñoz, D. Peláez Mata" "autores" => array:4 [ 0 => array:4 [ "nombre" => "I." "apellidos" => "Fernández Jiménez" "email" => array:1 [ 0 => "ferjinmi@yahoo.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Gutiérrez Segura" ] 2 => array:2 [ "nombre" => "V." "apellidos" => "Álvarez Muñoz" ] 3 => array:2 [ "nombre" => "D." "apellidos" => "Peláez Mata" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Cirugía Pediátrica. Hospital Central de Asturias. Oviedo" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => ": Dra. I. Fernández Jiménez. Servicio de Cirugía Pediátrica. Residencia Cantabria. Cazoña, s/n. 39011 Santander" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Foreign body aspiration in childhood. Report of 210 cases" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1999-10-31" "fechaAceptado" => "2000-06-30" "PalabrasClave" => array:1 [ "es" => array:2 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec186459" "palabras" => array:3 [ 0 => "Foreign body" 1 => "Bronchoscopy" 2 => "Childhood" ] ] 1 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186460" "palabras" => array:3 [ 0 => "Cuerpo extraño" 1 => "Broncoscopia" 2 => "Niños" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La aspiración de cuerpos extraños es uno de los accidentes de mayor incidencia y morbimortalidad en la infancia, favorecido entre otros motivos por la curiosidad propia de esta edad y la inmadurez de los mecanismos de-glutorios. Con el objetivo de evaluar los signos y síntomas más comunes que conducen al diagnóstico de broncoaspi-ración, y para demostrar el valor diagnóstico de la anamnesis, analizamos los casos de aspiración de cuerpo extraño tratados en nuestro centro durante los años 1975-1997.</p> <span class="elsevierStyleSectionTitle">Pacientes y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se presenta un estudio retrospectivo que evalúa distintos parámetros en un total de 210 pacientes, de los cuales se realizó broncoscopia en 208 casos, hallándose evidencia de cuerpo extraño en el 90%.</p> <span class="elsevierStyleSectionTitle">Resultados y conclusiones</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Destacamos el valor de una detallada historia clínica, presentando el antecedente de atragantamiento y las crisis de tos persistente una sensibilidad del 80%, respectivamente. En cuanto a la exploración clínica, la auscultación se revela como una prueba de gran sensibilidad (90%), aunque con baja especificidad (16%). Las pruebas radiológicas presentan menor sensibilidad, con un 16% de falsos negativos. Un elevado porcentaje se trataba de cuerpos extraños vegetales (82%), con una tasa de complicaciones del 5,7% y una mortalidad del 0,9%, si bien en los últimos 8 años no ha fallecido ningún niño.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Foreign body aspiration is one of the accidents with highest incidence, morbidity and mortality in childhood. It is favoured by curiosity and the immature swallowing mechanisms of this age group. To determine the most common signs and symptoms leading to the diagnosis of foreign body aspiration and to demonstrate the diagnostic value of a detailed anamnesis, we analyzed the cases of foreign body aspiration treated in our hospital between 1975 and 1997.</p> <span class="elsevierStyleSectionTitle">Patients and method</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Retrospective study of 210 patients with suspected foreign body aspiration. In 208 patients rigid bronchos-copy was performed. Evidence of a foreign body was found in 90%.</p> <span class="elsevierStyleSectionTitle">Results and conclusions</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We emphasize the clinical value of thorough anamnesis which showed high sensitivity (80%) in choking crises and persistent cough. Physical examination and respiratory auscultation showed high sensitivity (90%) but low specificity (16%). Chest X-ray showed the lowest sensitivity with 16% of false negatives. Most foreign bodies were vegetable fragments (82%), with a complication rate of 5.7%. Mortality was 0.9%, with no deaths occurring in the last 8 years.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:20 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cuerpos extraños traqueobronquiales en la infancia. Estudio de 133 casos y revisión de la literatura" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "S. Sánchez Gómez" 1 => "A. Andrés Martín" 2 => "J.M. Dueñas Panilla" 3 => "F. Delgado Moreno" 4 => "E. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 14 | 9 | 23 |
| 2024 Octubre | 109 | 76 | 185 |
| 2024 Septiembre | 77 | 54 | 131 |
| 2024 Agosto | 82 | 96 | 178 |
| 2024 Julio | 49 | 49 | 98 |
| 2024 Junio | 72 | 39 | 111 |
| 2024 Mayo | 79 | 52 | 131 |
| 2024 Abril | 60 | 41 | 101 |
| 2024 Marzo | 62 | 62 | 124 |
| 2024 Febrero | 62 | 52 | 114 |
| 2024 Enero | 48 | 38 | 86 |
| 2023 Diciembre | 51 | 27 | 78 |
| 2023 Noviembre | 68 | 37 | 105 |
| 2023 Octubre | 58 | 36 | 94 |
| 2023 Septiembre | 39 | 28 | 67 |
| 2023 Agosto | 54 | 28 | 82 |
| 2023 Julio | 58 | 35 | 93 |
| 2023 Junio | 53 | 33 | 86 |
| 2023 Mayo | 65 | 27 | 92 |
| 2023 Abril | 25 | 18 | 43 |
| 2023 Marzo | 25 | 33 | 58 |
| 2023 Febrero | 32 | 13 | 45 |
| 2023 Enero | 28 | 28 | 56 |
| 2022 Diciembre | 42 | 30 | 72 |
| 2022 Noviembre | 38 | 36 | 74 |
| 2022 Octubre | 33 | 64 | 97 |
| 2022 Septiembre | 29 | 94 | 123 |
| 2022 Agosto | 27 | 86 | 113 |
| 2022 Julio | 35 | 44 | 79 |
| 2022 Junio | 27 | 30 | 57 |
| 2022 Mayo | 27 | 41 | 68 |
| 2022 Abril | 40 | 53 | 93 |
| 2022 Marzo | 28 | 50 | 78 |
| 2022 Febrero | 20 | 42 | 62 |
| 2022 Enero | 51 | 43 | 94 |
| 2021 Diciembre | 22 | 47 | 69 |
| 2021 Noviembre | 57 | 41 | 98 |
| 2021 Octubre | 69 | 68 | 137 |
| 2021 Septiembre | 33 | 66 | 99 |
| 2021 Agosto | 35 | 30 | 65 |
| 2021 Julio | 27 | 30 | 57 |
| 2021 Junio | 28 | 33 | 61 |
| 2021 Mayo | 52 | 44 | 96 |
| 2021 Abril | 159 | 98 | 257 |
| 2021 Marzo | 99 | 23 | 122 |
| 2021 Febrero | 52 | 23 | 75 |
| 2021 Enero | 37 | 24 | 61 |
| 2020 Diciembre | 44 | 10 | 54 |
| 2020 Noviembre | 38 | 15 | 53 |
| 2020 Octubre | 35 | 10 | 45 |
| 2020 Septiembre | 34 | 12 | 46 |
| 2020 Agosto | 33 | 24 | 57 |
| 2020 Julio | 42 | 11 | 53 |
| 2020 Junio | 48 | 13 | 61 |
| 2020 Mayo | 53 | 16 | 69 |
| 2020 Abril | 31 | 17 | 48 |
| 2020 Marzo | 33 | 12 | 45 |
| 2020 Febrero | 49 | 17 | 66 |
| 2020 Enero | 44 | 16 | 60 |
| 2019 Diciembre | 45 | 21 | 66 |
| 2019 Noviembre | 32 | 19 | 51 |
| 2019 Octubre | 25 | 701 | 726 |
| 2019 Septiembre | 43 | 18 | 61 |
| 2019 Agosto | 31 | 16 | 47 |
| 2019 Julio | 46 | 44 | 90 |
| 2019 Junio | 60 | 40 | 100 |
| 2019 Mayo | 98 | 28 | 126 |
| 2019 Abril | 99 | 33 | 132 |
| 2019 Marzo | 33 | 16 | 49 |
| 2019 Febrero | 34 | 18 | 52 |
| 2019 Enero | 23 | 13 | 36 |
| 2018 Diciembre | 24 | 33 | 57 |
| 2018 Noviembre | 40 | 30 | 70 |
| 2018 Octubre | 33 | 25 | 58 |
| 2018 Septiembre | 24 | 19 | 43 |
| 2018 Agosto | 1 | 0 | 1 |
| 2018 Julio | 1 | 0 | 1 |
| 2018 Mayo | 3 | 0 | 3 |
| 2018 Abril | 9 | 0 | 9 |
| 2018 Marzo | 11 | 0 | 11 |
| 2018 Febrero | 11 | 0 | 11 |
| 2018 Enero | 8 | 0 | 8 |
| 2017 Diciembre | 8 | 0 | 8 |
| 2017 Noviembre | 9 | 0 | 9 |
| 2017 Octubre | 11 | 0 | 11 |
| 2017 Septiembre | 12 | 0 | 12 |
| 2017 Agosto | 11 | 0 | 11 |
| 2017 Julio | 18 | 0 | 18 |
| 2017 Junio | 21 | 35 | 56 |
| 2017 Mayo | 17 | 22 | 39 |
| 2017 Abril | 18 | 16 | 34 |
| 2017 Marzo | 16 | 44 | 60 |
| 2017 Febrero | 13 | 24 | 37 |
| 2017 Enero | 11 | 7 | 18 |
| 2016 Diciembre | 11 | 15 | 26 |
| 2016 Noviembre | 37 | 13 | 50 |
| 2016 Octubre | 33 | 18 | 51 |
| 2016 Septiembre | 25 | 19 | 44 |
| 2016 Agosto | 29 | 12 | 41 |
| 2016 Julio | 15 | 9 | 24 |
| 2016 Febrero | 2 | 0 | 2 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Noviembre | 1 | 0 | 1 |
| 2015 Julio | 12 | 0 | 12 |
| 2015 Junio | 7 | 0 | 7 |
| 2015 Mayo | 14 | 4 | 18 |
| 2015 Abril | 13 | 0 | 13 |
| 2015 Marzo | 8 | 0 | 8 |
| 2015 Febrero | 12 | 0 | 12 |
| 2015 Enero | 10 | 0 | 10 |
| 2014 Diciembre | 14 | 2 | 16 |
| 2014 Noviembre | 7 | 0 | 7 |
| 2014 Octubre | 8 | 0 | 8 |
| 2014 Septiembre | 10 | 2 | 12 |
| 2014 Agosto | 9 | 1 | 10 |
| 2014 Julio | 12 | 2 | 14 |
| 2014 Junio | 19 | 2 | 21 |
| 2014 Mayo | 25 | 2 | 27 |
| 2014 Abril | 13 | 3 | 16 |
| 2014 Marzo | 13 | 8 | 21 |
| 2014 Febrero | 7 | 10 | 17 |
| 2014 Enero | 17 | 5 | 22 |
| 2013 Diciembre | 15 | 11 | 26 |
| 2013 Noviembre | 22 | 7 | 29 |
| 2013 Octubre | 29 | 7 | 36 |
| 2013 Septiembre | 23 | 7 | 30 |
| 2013 Agosto | 26 | 9 | 35 |
| 2013 Julio | 2 | 2 | 4 |
| 2013 Junio | 3 | 4 | 7 |
| 2013 Mayo | 8 | 2 | 10 |
| 2013 Abril | 4 | 2 | 6 |
| 2013 Marzo | 13 | 2 | 15 |
| 2013 Febrero | 33 | 4 | 37 |
| 2013 Enero | 34 | 2 | 36 |
| 2012 Diciembre | 16 | 1 | 17 |
| 2012 Noviembre | 29 | 3 | 32 |
| 2012 Octubre | 30 | 1 | 31 |
| 2012 Septiembre | 3 | 1 | 4 |
| 2012 Agosto | 1 | 0 | 1 |
| 2000 Septiembre | 4687 | 0 | 4687 |
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