The last day of 2021 is full of new year's joy, and everyone is waiting to welcome the arrival of the new year. It was already 9 p.m., and Hu Jiancong, deputy director of the Department of Endoscopic Surgery at the Sixth Affiliated Hospital of Sun Yat-sen University, received an emergency notice from the emergency department that a 9-year-old boy Xiaoyi (pseudonym), who accidentally swallowed a magnet, was anxiously waiting for the doctor to lend a helping hand. Parents who originally watched the New Year's Eve program with their children nervously searched for folk remedies to take leeks in an attempt to promote discharge, and the results helped, leeks blocked the line of sight of the magnet, and the treatment doctor had to empty the stomach leeks, multi-pronged, and then successfully removed the foreign body.
Straddling the Chinese New Year's Eve, the little boy swallowed the magnet by mistake
"Mom, I swallowed the magnet in my stomach, what should I do?" It turned out that when Xiao Yi (pseudonym) was watching the New Year's Eve program with his family, he grabbed an olive-shaped magnet and played with it in his mouth when his parents did not pay attention. Seeing the enchantment, I accidentally swallowed the magnet. The original cross-Chinese New Year's Eve became a sleepless night for the family. Parents panicked and used mobile phones to search for processing methods, and even let Xiaoyi eat a handful of leeks in an attempt to promote discharge according to online remedies. After eating, Xiao Yi's bloating discomfort worsened. The parents quickly sent Xiao Yi to the emergency department of the Sixth Affiliated Hospital of Sun Yat-sen University. After CT examination, it was found that the magnet had entered the stomach. The emergency department doctor immediately contacted the hospital's endoscopic surgery department to remove the magnet for the child through a gastroscope.
A CT shows that the magnet has entered the stomach.
After full preoperative preparation, Hu Jiancong performed a sedative and analgesic gastroscopy on Xiaoyi. Under the gastroscope, a large amount of leek residue is left in the stomach cavity, but the magnet is not visible. "Generally speaking, the emptying time of the stomach is 4-6 hours" Therefore, Hu Jiancong believes that the magnet is still inside the stomach, but it is only covered by food debris. Through the gastroscopic foreign body forceps, the vegetable residue is completely removed in stages, and the magnet is finally exposed to the gastroscope.
Magnet difficult to clamp Doctor wisdom "dumplings" to take out
Hu Jiancong tried to use foreign body clamps, traps and other conventional foreign body devices, and found that there was no way to clamp the magnet and take it out. Experienced, he immediately made a decision, immediately arranged to contact the operating room, borrowed the sterile specimen commonly used in the laparoscopy of the operating room to remove the bag, tied a silk thread to the bag, and then brought the specimen bag into the gastric cavity through the gastroscope, slowly pushed the magnet into the specimen bag like a "dumpling" through the foreign body forceps, and finally pulled the silk thread through the mouth and finally removed the magnet completely.
The magnet enters the specimen bag smoothly.
After removing the foreign body, Xiao Yi slowly woke up, and after half an hour of rest, he could drink water and eat normally, and he could go home with his parents to celebrate the New Year on New Year's Day.
Olive-shaped magnet
Reminder: Magnet toys are destructive, and parents who swallow foreign bodies should not dispose of it indiscriminately
Hu Jiancong introduced that swallowing magnet-like toys can cause very serious medical incidents in children, and at the beginning of last year, the hospital had received 2-year-old children who had perforation of the gastrointestinal tract caused by swallowing magnetic beads, and even needed to repair the perforated intestinal tube through surgery. In fact, magnet toys, especially toys such as magnetic beads, are "time bombs" in the eyes of surgeons, and children should be avoided as much as possible.
Foreign bodies in the digestive tract are common accidents in children, in addition to children less than 3 years old are prone to swallow foreign bodies, children at this age like Xiaoyi may also swallow by mistake in the case of mental inattention. Some foreign bodies may have disastrous consequences, "magnet toys, button batteries, etc. may cause digestive tract perforation, fish spines, bones, etc. will damage the digestive tract mucosa and even puncture the digestive tract to puncture the surrounding tissues and blood vessels, parents should remain calm after finding children swallowing foreign bodies, do not listen to folk remedies with 'eat leeks' and 'drink vinegar' and other ways to deal with, should immediately go to the hospital for treatment. At the same time, parents should also take good care of their children, do not let their children touch toys that may cause danger, and also establish a sense of not swallowing toys for children. Hu Jiancong reminded.
Text, photo/Guangzhou Daily, Xinhua city Reporter: Liang Chaoyi Correspondents: Jian Wenyang, Dai Xi'an
Guangzhou Daily Xinhuacheng Editor: Li Jin