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Linfen: The "bear child" swallowed the hairpin by mistake, fortunately...

The fever persisted in a 3-year-old girl for 4 days

Found after being sent to the hospital for examination

Things go by

The 3-year-old girl continued to have a fever for 4 days without retreating, and thought that she had pneumonia, but she did not expect that it was a "disaster" caused by swallowing a hairpin by mistake, which almost caused serious consequences. Fortunately, thanks to the timely medical treatment, Nie Ying, director of the third department of pediatrics of the Municipal Maternal and Child Health Hospital, performed a transgascopic gastrointestinal foreign body removal operation for the child, and removed a 5 cm long hairpin.

"When taking a chest X-ray for a child, seeing a metal foreign body in the stomach, judging from the shape, it should be a hairpin, I don't know when the child ate it, can it be taken out?" Do I need to operate? Will it hurt? On December 9, the family rushed to the Municipal Maternal and Child Health Hospital with the child in their arms, and the child in their arms was mentally weak and their faces showed a look of panic.

"A few days later, the child will be really dangerous!" Through painless gastroscopy, Nie Ying found that the foreign body was stuck in the child's duodenal lower part, and the foreign body could be removed using the gastroscope. If the position is lowered, the gastroscope is "whiplash". Once the foreign body slides into the small intestine, it may penetrate the intestinal wall and cause damage at any time, and then it will take open surgery, which will greatly increase the pain and treatment costs for the child.

On the same day, with the coordination of relevant departments, Nie Ying performed a transgasoscopic gastrointestinal foreign body removal for the child. Because the location of the foreign body reaches the limit that can be detected by the gastroscope, and the foreign body is relatively sharp, the operation is very difficult.

With skillful skills and rich experience, Nie Ying "passed the barrier" all the way, and finally took out the hairpin that the child swallowed by mistake within 20 minutes, and the whole process was thrilling.

Hear what the doctor has to say

"After the hairpin was swallowed by the child, it was scurried around in the stomach, resulting in scars on the entire stomach wall, blood scabs everywhere, and needed to be hospitalized for gastric mucosa protection treatment." Nie Ying said, "Many people have this kind of black slender hairpin at home, you must remember to put it away when you are not in use, and do not ignore these small details." ”

Swallowing a hairpin by mistake sounds incredible. In fact, since the introduction of digestive endoscopic examination equipment, the Municipal Maternal and Child Health Hospital has treated many such "curious babies" in time, most of whom are concentrated in the age group of about 3 years old, and the things that are accidentally eaten include coins, screw caps, metal sheets, toy parts and so on. Only what everyone can't think of, no children dare not eat.

"Among the children who come to the doctor, swallowing coins by mistake is the most common. Some time ago, a two-year-old baby swallowed a 5-cent coin, and as a result, it got stuck in the esophagus, drooling and unable to eat, which frightened the parents. Nie Ying highlighted two typical cases, "There was also a naughty little boy who accidentally ate the nut, and the parents didn't care at first, thinking that the nut was relatively small and easy to be excreted, until the child was in excruciating pain before being sent to the hospital." This is very dangerous, the nut is relatively heavy, staying in the body for too long, may lead to complications such as gastrointestinal mucosal damage, intestinal obstruction, gastrointestinal bleeding and even perforation. ”

Nie Ying reminded here: "Swallowing foreign objects by mistake is a common accidental injury in early childhood, parents must not take it lightly, and must clean up small objects frequently." Once it is found that the child has swallowed a sharp or corrosive, strongly magnetic high-risk foreign body, such as magnetic beads, buck balls, button batteries, etc., or fish bones, date nuclei, coins, etc. stuck in the esophagus, be sure to seek medical attention immediately, perform painless gastroscopy as soon as possible, and remove the foreign body. ”

Parents should pay special attention to the fact that some of the foreign bodies that have been swallowed by mistake can be excreted with feces through the digestive tract, and some foreign bodies may remain in the esophagus, stomach, duodenum and other parts, causing different clinical symptoms and complications. Can be discharged on their own or need endoscopic surgery, to take the child to the hospital for further examination, do not swallow other foods to promote the lower discharge of foreign bodies, so as not to cause secondary damage, resulting in irreparable serious consequences.

Reprinted from Linfen Daily

Source: Linfen Maternal and Child Health Hospital

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