IMPORTANCE OF ANAMNESIS AT THE FOREIGN BODIES OF THE LOWER RESPIRATORY WAYS

<p>Foreign bodies of the lower respiratory ways represent a very important chapter in ENT and medicine in general,<br />becouse they can lead to child fatal results in very short time due the obstruction and suffocation. They considered as some of the most urgent states in medicine, so that the childs life depends on correctly and quickly made diagnostic and skilfully do<br />ne intervention. The authors have analysed the importance of anamnesis at the patients which have the foreign body in the<br />lower respiratory ways, hospitalized at the ENT Clinic and Pediatric Clinic of the CHC Priština, during the period of 1994 -<br />1999. Results of ork are showed that 132 childrens have been hospitalized during this period, and 119 of them were with<br />positively anamnesis for foreign body, while 13 were with negatively anamnesis, but with positive clinical and/or radiolo<br />gical findings. From 119 patients with positively anamnesis, 82.38% had positive TBSC finding, while patients with nega<br />tively anamnesis (13) had positive TBSC finding in 23.08% cases. The largest number of the children has been male pole<br />(64.36%), of the age of 3 and younger (73.27%), the most frequent foreign body was raw grain of bean (31.69%), and peanut (16.83%), and the most frequent localisation has been the right bronchi (57.43%). The most foreign bodies have been extracted by the upper tracheobronchoscopy (99.01%), while in only 0.99% of the cases tracheostomy and lower tracheobron choscopy applied. Positive anamnesis for foreign body of the lower respiratory ways was sufficient reason to indicate a tracheobronchoscopy, but if patients had positively clinical and/or radiological findings, negatively anamnesis must be interpreting very carefully</p>