Zusammenfassung
Husten, Giemen, Atemnot, aber auch rezidivierende Infekte oder Pneumonie können Hinweise auf eine stattgehabte Aspiration sein. Circa 80% der Fremdkörperaspirationen ereignen sich bei Kindern. Am häufigsten sind Kleinkinder im Alter von 1–3 Jahren betroffen. Meist sitzen die Fremdkörper im Bronchialsystem, seltener, dann aber besonders gefährlich, im Kehlkopf oder der Trachea. Bei Erwachsenen sind Fremdkörperaspirationen selten, bei etwa 1–2‰ aller Erwachsenenbronchoskopien ergeben sich Fremdkörper. Bei aspirierten Fremdkörpern dominieren Nahrungspartikel. Methode der Wahl zur Entfernung der Aspirate stellt die Bronchoskopie dar.
Abstract
Coughing, wheezing, dyspnea and recurrent pneumonia can be signs of foreign body aspiration. About 80% of all foreign body aspirations occur in children, especially in infants between 1 and 3 years of age. Although most foreign bodies are found in the bronchi they are especially dangerous in the larynx or trachea. Foreign body aspiration is less common in adults, being confirmed in only about 1–2 of every 1,000 bronchoscopies. The most common foreign bodies are foods particles. Bronchoscopy is the method of choice for foreign body removal.
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Herth, F. Fremdkörper im Bronchialsystem. HNO 60, 788–791 (2012). https://doi.org/10.1007/s00106-012-2514-1
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DOI: https://doi.org/10.1007/s00106-012-2514-1