Home is a warm harbor, but it is also a high incidence of accidental injuries to children, and recently a number of children's specialized hospitals in the city have received several small children who have accidents at home.
On the afternoon of January 6, a three-year-old girl was admitted to the emergency department of Shanghai Children's Hospital, and the receiving doctor thought that the child was wearing a beautiful star hair ornament on his head. Unexpectedly, it was a nail inserted into the skull!
Listening to the parents' introduction, it turned out that in the morning at home with another big child, he fell from the bed and happened to hit a magnetic nail with the handle facing upwards, that is, this "star". After CT examination, it was found that the "star" smashed the child's skull, plunging into the brain about 1.3 cm, causing a dent fracture of the left parietal bone and extraceranial hemorrhage, and puncturing the meninges, almost damaging the functional area of the brain. The child cried incessantly, but fortunately there was no mental disorder.
After discussion, the team of Liu Jiangang, the head of the neurosurgery department of the Children's Hospital, decided to take a plan that was less invasive for the child to remove the foreign body. The broken tissue is removed, the skull is reduced and depressed, the bone plate is also reassigned, and the internal fixator that absorbs the fracture is fixed. The operation lasted nearly 5 hours, but after the cooperation of neurosurgery, operating room and surgical intensive care unit, the star was successfully "picked". The child recovered well after the operation, and on the 7th, he was transferred out of the intensive care unit and returned to the general ward, and the child's limb activity was good.
Children's skin, muscles and bone tissues are relatively weak, the ability to protect the nervous system is naturally relatively weak, and in the case of the same degree of injury, it is easier to damage nerve tissue and have sequelae. Dr. Zhan Qijia of the Department of Neurosurgery of Children's Hospital said that when children are over three years old, they must give their children some daily safety education, and parents can use their own practical actions to show them, teach them the correct way of behavior, teach them how to protect themselves, especially the head, and reduce the occurrence of accidental injuries.
Just a few days ago, doctors at the Shanghai Children's Medical Center affiliated with Shanghai Jiao Tong University School of Medicine removed a "long-legged light bulb" from the lungs of a one-and-a-half-year-old baby.
The one-and-a-half-year-old had a cough a week ago, which continued to worsen and even wheezing. In winter, it is very common for children to have coughing and wheezing symptoms of respiratory infections, but Yin Yong, director of the Department of Respiratory Medicine of Shanghai Children's Medical Center, has a strange discovery on the chest x-ray - there is a strangely shaped metal-like high-density shadow in the left lung field, and the two "long feet" are stuck in the airway separately.
hairpin? pin? toy? In the face of the doctor's inquiry, the parents were also confused. Further CT of the chest revealed that the metallic foreign body was located in the opening of the lower lobe of the left lung, just below the mediastinal aortic arch. The nature of this foreign body is not clear, the metal-like foreign body tip is sharp, it is likely to pierce the bronchial wall with the breathing movement, the pneumothorax, mediastinal emphysema, etc., coupled with the child's severe cough, once the foreign body pierces the blood vessels, the consequences are unimaginable.
Subsequently, the Pediatric Respiratory Medicine Department "Airway Foreign Body Green Channel" launched the emergency plan, because the child is only more than 1 year old, the tracheobronchial lumen is much smaller than adults, endoscopists choose the thinnest 2.8 mm outer diameter tracheoscope, leaving the operation lumen of the instrument to grab the foreign body is only 1.2 mm, the difficulty of surgery is self-evident.
When everything is ready, the tracheoscope enters the child's airway and probes for a foreign body at the opening of the bronchi in the lower lobe of the left lung, at which point one of the wires is suspected of having pierced into the bronchial wall, and the doctor uses foreign body forceps and a mesh basket to gradually release it. After 15 minutes, a light-emitting diode about 1.2 cm long was removed from the child's airway... All the paramedics breathed a sigh of relief! After asking the parents, the parents suddenly realized that this is a small light bulb on the toy lamp at home, and they don't know how to "run" into the child's trachea.
Experts remind parents that the care of young children is very important, do not let children play alone with small objects or toys with small parts.
For some children who are relatively older, experts suggest that they can choose to wear lightweight anti-collision protective helmets during daily activities, and anti-collision devices can be pasted on the corners of the door or sharp furniture surfaces of the home, which can greatly reduce the probability of being injured at home. Before practicing dance and before sports, children should be warmed up, and the probability of accidents in physical activity is relatively low.
The winter vacation is approaching, and children's accidental injury protection must always be kept in mind by parents!
Source: Shanghai News Broadcasting