Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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Percorsi clinici

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Atelettasia ed enfisema lobari:
due storie con due immagini a confronto

LOBAR ATELECTASIS AND EMPHYSEMA - COMPARING TWO CASES AND THE RELATIVE IMAGINES

Angela De Cunto1, Chiara Zanchi1, Massimo Gregori2, Giorgio Pelos3, Jürgen Schleef4, Federico Marchetti1

1Clinica Pediatrica, 2SCO di Radiologia, 3SCO di Otorinolaringoiatria, 4SCO di Chirurgia
IRCCS “Burlo Garofolo”, Trieste

Settembre 2010 - pagg. 446 -451

Abstract
The work compares the cases of two children of the same age (14-15 months) who raise the similar suspect of inhalation of foreign bodies. In the first case the hypothesis was suggested by the radiologic finding of atelectasis. In the second case the clinical history was suggestive but it was not emphasized at first. Some comments on these clinical cases and about atelectasis and foreign bodies are reported. The aim was to discuss when the suspect of inhalation of foreign bodies raised, which is a common problem in children, and to define the indications to bronchoscopy.
Bibliografia
1. Kliegman RM, Behrman RE, Jenson MB, Stanton Bf (Eds). In: Nelson, Textbook of Pediatrics, 18th edition. Saunders Elsevier, 2007. 2. Peroni DG, Boner AL. Atelectasis: mechanisms, diagnosis and management. Paediatr Respir Rev 2000;1:274-8. 3. Tokar B, Ozkan R, Ilhan H. Tracheobronchial foreign bodies in children: importance of accurate history and plain chest radiography in delayed presentation. Clin Radiol 2004;59:609-15. 4. Schindler MB. Treatment of atelectasis: where is the evidence? Crit Care 2005;9:341-2. 5. Hendriks T, de Hoog M, Lequin MH, Devos AS, Merkus PJ. DNase and atelectasis in noncystic fibrosis pediatric patients. Crit Care 2005;9:R351-6. 6. Nasr SZ, Strouse PJ, Soskolne E, et al. Efficacy of recombinant human deoxyribonuclease I in the hospital management of respiratory syncytial virus bronchiolitis. Chest 2001;120: 203-8. 7. Geraci C, Paloni G, Saccari A, et al. È giustificato un diverso approccio terapeutico nel trattamento dell’atrofia muscolare spinale di tipo 1? Medico e Bambino pagine elettroniche 2008;11(4); http://www.medicoebambino. com/?id=CL0804_20.html. 8. Saki N, Nikakhlagh S, Rahim F, et al. Foreign body aspirations in infancy: a 20-year experience. Int J Med Sci 2009;6:322-8. 9. Mofenson HC, Greensher J. Management of the choking child. Pediatr Clin North Am 1985;32:183-92. 10. Siani P, Antonelli F, Aronne D. Inalazione di corpo estraneo in età pediatrica: esperienza di un team ospedaliero. Quaderni acp 2009;16: 57-9. 11. Huang HJ, Fang EHJ, Chen HC, et al. Three- dimensional computed tomography for detection of tracheobronchial foreign body aspiration in children. Pediatr Surg Int 2008; 24:157-60. 12. Adaletli I, Kurugoglu S, Ulus S, et al. Utilization of low-dose multidetector CT and virtual bronchoscopy in children with suspected foreign body aspiration. Pediatr Radiol 2007; 37:33-40. 13. Cataneo AJM, Cataneo DC, Ruiz LR. Management of tracheobronchial foreign body in children. Pediatr Surg Int 2008;24:151-6. 14. Even L, Heno N, Talmon Y, et al. Diagnostic evaluation of foreign body aspiration in children: a prospective study. J Pediatr Surg 2005;40:1122-7. 15. Cohen S, Avital A, Godfrey S, et al. Suspected foreign body inhalation in children: what are the indications for bronchoscopy? J Pediatr 2009;155:276-80. 16. Wang K, Harnden A, Thomson A. Foreign body inhalation in children. BMJ 2010;341: c3924.

Corrispondenza: marchetti@burlo.trieste.it