ANALIZA ASPIRACIJ TUJKOV V DIHALIH IN NJIHOVO ODSTRANJEVANJE S TOGIM BRONHOSKOPOM

Arčan, Tadeja

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Naslov:	ANALIZA ASPIRACIJ TUJKOV V DIHALIH IN NJIHOVO ODSTRANJEVANJE S TOGIM BRONHOSKOPOM
Avtorji:	ID Arčan, Tadeja (Avtor) ID Čizmarević, Bogdan (Mentor) Več o mentorju... ID Mekiš, Dušan (Komentor)
Datoteke:	MAG_Arcan_Tadeja_2016.pdf (1,48 MB) MD5: CDB5ECD59DE106B6368D684FCB1DD2A5
Jezik:	Slovenski jezik
Vrsta gradiva:	Magistrsko delo/naloga
Tipologija:	2.09 - Magistrsko delo
Organizacija:	FZV - Fakulteta za zdravstvene vede
Opis:	Uvod in opis problema: Obravnava bolnikov s tujki v dihalih je stresna situacija, saj je potrebno hitro ukrepanje s strani operacijske ekipe, ki sodelujejo pri obravnavi bolnika. Tujke odstranjujemo v splošni anesteziji z bronhoskopijo oziroma s togim bronhoskopom, ki je endoskopska tehnika za pregled sapnika ter proksimalnih delov bronhijev ter odstranjevanje tujkov iz dihal. Metodologija: V retrospektivni presečni raziskavi smo pregledali podatkovno bazo bolnišničnega informacijskega sistema MEDIS UKC Maribor v desetletnem obdobju od leta 2005 do leta 2015. V raziskovalni vzorec smo vključili bolnike z vključitvenimi kriteriji diagnoz iz Mednarodne klasifikacije bolezni in sorodnih zdravstvenih problemov (MKB-10). Nadalje smo iskali po šifrantu Klasifikacije terapevtskih in diagnostičnih postopkov (KTDP) ter po opravljenih posegih s šiframi posegov. Nato smo v magistrskem delu s slikovnim materialom opisali postopek toge bronhoskopije. V zadnjem delu smo na simulatorju prikazali možnost umetnega predihavanja preko togega bronhoskopa. Rezultati: V desetletnem obdobju je bilo na oddelku za ORL in MFK obravnavanih 38 primerov suma na tujek v dihalih. V 24 primerih je šlo za pediatrične bolnike. Najmlajši je bil star 1 leto, najstarejši 14 let. Tujek, ki je bil v dihalih najpogosteje, je bil arašid. Najpogostejša lokacija zagozditve tujka je desni glavni bronhij, in sicer v 19 primerih. Najpogostejša napotna diagnoza bolnikov, napotenih na oddelek za ORL in MFK, je sum na tujek. Tako kot je pri otrocih razlog aspiracije tujkov raziskovanje okolja ter smejanje, govorjenje pri hranjenju, je pri odraslih vzrok spremljajoča osnovna bolezen. Od 14 primerov pri odraslih je bilo 8 bolnikov hospitaliziranih s spremljajočimi boleznimi. Sklep: Največ tujkov smo zasledili pri otrocih v starosti med 1 in 3 leti. Tako kot je pri otrocih razlog aspiracije tujkov raziskovanje okolja, tekanje, smejanje in govorjenje pri hranjenju, je pri odraslih vzrok spremljajoča osnovna bolezen. Najpogosteje je bil tujek zagozden v desni glavni sapnici. Najpogostejši tujek pri otrocih je bil arašid, pri odraslih jabolko.
Ključne besede:	togi bronhoskop, bronhoskopija, tujek, aspiracija
Kraj izida:	Maribor
Založnik:	[T. Arčan]
Leto izida:	2016
PID:	20.500.12556/DKUM-62356
UDK:	616-089.819.6
COBISS.SI-ID:	2256804
NUK URN:	URN:SI:UM:DK:UPOADZUB
Datum objave v DKUM:	14.10.2016
Število ogledov:	2600
Število prenosov:	322
Metapodatki:
Področja:	FZV
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Sekundarni jezik

Jezik:	Angleški jezik
Naslov:	ANALYSIS OF FOREIGN BODIES ASPIRATION IN AIRWAY AND THEIR REMOVAL WITH RIGID BRONCHOSCOPE
Opis:	Introduction and description of the problem: Treatment of patients with foreign bodies in the respiratory system, is a stressful situation, since a rapid action is required from the operating teams, involved in a patient management. Foreign bodies are removed under general anaesthesia with a bronchoscopy or with a rigid bronchoscope, which is a technique for an endoscopic inspection of the trachea and for proximal parts of the bronchi and removing foreign bodies from the respiratory tract. Methodology: In a retrospective cross-sectional, study we have examined a database of hospital information system MEDIS UKC Maribor, the ten-year period, from 2005 to 2015. The research sample included patients with inclusion criteria diagnoses from the International Classification of Diseases and Related Health Problems (ICD-10). Later on, we were searching in the codebook Classifications therapeutic and diagnostic procedures (KTDP) and the work done by the codes interference. Then we had the master's work with imagery to describe the process of rigid bronchoscopy. In the last section we had a simulator to show the possibility of artificial ventilation through the rigid bronchoscope. Results: In the ten year period, the Department of ENT and MFK dealt with 38 cases of a suspected foreign body in the respiratory system. In 24 cases pediatric patients patients were involved. The youngest was one year old, the oldest fourteen years old. The object that was most often in the respiratory system was a peanuts. The most common location of the entrapment of the foreigner is in the right main bronchus and in the 19 cases. The most common referral diagnosis of patients, referred for ENT and MFK department, is suspected foreign body. Just as in children’s cases, where the reasons for the aspiration of foreign material are environmental research while laughing and, speaking during feeding, the adult’s cases are accompanied by basic cause of disease. Eight of fourteen adult’s patients were hospitalized with the concomitant illness. Conclusion: Most foreign bodies were seen in children aged between one and three years. Just as in children’s case, where the reason for aspiration of foreign bodies, are environmental research, running, laughing and talking despite the feeding, the adult’s cases are accompanied by the cause underlying disease. Mainly, a foreign object was jammed in the right main bronchi. In children’s cases a peanut was the most common foreign body, while for adults this was an apple.
Ključne besede:	rigid bronchoscope, bronchoscopy, foreign body, aspiration

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