Avtor/Urednik		Roškar, Zdravko; Miksič, Mirjana; Homšak, Matjaž; Umek-Bradač, Stanislava; Kanič, Zlatka; Todorovič-Guid, Mirjana
Naslov		Uporabnost detektorja kovin v odkrivanju zaužitih kovinskih tujkov pri otrocih
Prevedeni naslov		Successful use of metal detector in locating metallic foreign bodies ingested by children
Tip		članek
Vir		In: Bručan A, Gričar M, editors. Urgentna medicina: izbrana poglavja 6. Zbornik 7. mednarodni simpozij o urgentni medicini; 2000 jun 14-17; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Leto izdaje		2000
Obseg		str. 243-8
Jezik		slo
Abstrakt		Introduction: Foreing body ingestion constitutes a common problem in pediatric emergency medicine. The most commonly ingested foreign bodies in children are coins. Past recommendations included radiographs of the entire gastrointestinal tract in all children with suspected foreign bodies. Coins that become impacted in the esophagus may cause complications. Presented is a method for diagnosing ingestion of metal bodies with a metal detector.The purpose of this study was to determine the accuracy of the hand metal detector PD 1405 (CEIA, Arezzo, Italy) in locating coins in a model simulating coin ingestion in children. Methods: The distance between the anterior chest wall and the esophagus was measured by ultrasound in a group of 20 children aged from 1 to 7 years. The largest distance measured was used as the measure to place the coin on the investigator's forearm. In 41 cases the coin was taped to one arm only, in 35 cases to both arms and in 24 cases there was no coin. In the investigation we used coins of 50 stotins, 1, 2, and 5 tolars. A positive scan was defined as a positive visual indication on the metal detector. Results: The largest distance between the anterior chest wall and the esophagus was 5.8 cm. We confirmed 111 coins with the metal detector. In 89 cases we did not confirm the existence of a coin. The result was accurate in every case. The acuracy of metal detector was 100% in our study. Conclusion: With this study we confirmed the diagnostic significance of the metal detector in identifying metal foreign bodies through human tissues. The results of this study have indicate that the hand metal detector PD140S is 100% reliable in assessing coins at a distance corresponding to that between the anterior chest wall and the esophagus in children aged 7 or less. The advantage of using the metal detector as compared to the x-ray is in the duration of the investigation, its economy and safety. (Abstract truncated at 2000 characters)
Deskriptorji		FOREIGN BODIES GASTROINTESTINAL SYSTEM CHILD INFANT NUMISMATICS METALS ESOPHAGUS