Kids, don't be hungry
After the eighth year is the year
It's new year' time soon
Have a lot of people started cleaning up?
The oil-stained kitchen gives a lot of headaches
Then
How can an "artifact" assist without a little degreasing do?
Sodium hydroxide, commonly known as "caustic soda" in life
It's a lot of families
The "artifact" of washing and brushing
However, there is one thing that is not noticed
The harm is irreversible
There will even be a huge danger to life
This is not
55-year-old Jiangxi yong uncle (pseudonym)
A large mouthful of "caustic soda" poured down
The esophagus is burned out
Even lived in the ICU
What the hell is going on here?
On the eve of the winter solstice, Uncle Yong, who had just been discharged from the first phase of the general thoracic surgery ward of the Headquarters of the First Affiliated Hospital of Zhejiang University School of Medicine, finally had a hint of the mood of staying downstairs in the ward for a while and enjoying the beautiful scenery. In September 2021, because he accidentally swallowed 20ml of caustic soda, his esophagus was corroded, and he could only maintain his life through liquid food for two or three months, he said: "At that time, people around me said that I was dead, and if I did not rescue the first hospital of Zhejiang University in time, I might have died." ”
The 55-year-old uncle took a big mouthful of "caustic soda" and drank it for a second to "lock" the throat and could not swallow
Uncle Yong is a Jiangxi native who works in Shaoxing, and his wife Yong Aunt (pseudonym) accompanies him to the south and north, even if he rents someone else's room, he must clean up and clean up. Especially in the kitchen, every time she finished cooking, she would carefully wipe the stove and range hood with various cleaning products.
Usually, Aunt Yong always dissolves a large spoonful of white powdered sodium hydroxide ("caustic soda") with water and then wipes the stove and range hood with a rag, "clean is clean, easy to molt the hands." After the weather turned cold, Aunt Yong, who loved frostbite, thought of a way to dilute the sugar-like caustic soda in advance with water and put it into the beverage bottle, and when it was used, it was sprayed on the stove with a dry cloth through the small hole in the bottle cap.
At the beginning of September, Uncle Yong, who returned from work, was very thirsty, ran to the kitchen to see the large bottle of "drink" on the stove, and after drinking two large sips, he suddenly realized that the taste was not right, and there was a strong burning sensation in his mouth. He quickly rinsed his mouth with tap water, trying to spit out the "drink" in his mouth, but the more he rinsed his mouth, the more his mouth and throat burned with pain. Within an hour, the entire lip had swollen and the upper and lower gums began to fester and bleed. From time to time, the fluid from the vomit regurgitated enters the airway, causing him to cough and breathe heavily.
Half an hour later, it wasn't until Aunt Yong rushed home that Uncle Yong figured it out and drank the caustic soda solution as a drink. Realizing the seriousness of the situation, the couple came to the local hospital in Shaoxing for treatment, after anti-inflammatory, acid suppression, phlegm, rehydration, etc. and symptomatic supportive treatment, Uncle Yong's esophagus was still seriously corroded, he could not swallow anything, even drinking water, making sounds are very difficult. Local hospital specialists advised them to go to a higher hospital for further treatment.
On September 18, Uncle Yong was urgently transferred to the emergency department of the Qingchun Branch of the First Hospital of Zhejiang University. At this time, Uncle Yong's mouth and throat were severely ulcerated, and his breathing was embarrassing, which was very dangerous.
Lu Yuanqiang, chief physician of the emergency department, led the team to treat Uncle Yong for the first time, and took Uncle Yong into the emergency room with "sodium hydroxide chemical injury" and gave symptomatic support treatment such as fasting, stomach protection, and fluid rehydration. At the same time, experts in gastroenterology, nutrition, gastrointestinal surgery, and general thoracic surgery are consulted.
"Sodium hydroxide chemical injuries are infiltrated layer by layer, and the condition can change at any time." Director Lu Yuanqiang introduced that sodium hydroxide is commonly known as "fire alkali" and "caustic soda", which is a dangerous chemical. At room temperature is a white crystal with strong corrosive properties. It is easily soluble in water, and its aqueous solution can be used as a washing liquid. After accidental administration, it can cause burns until severe ulcers, causing serious and permanent damage to the human digestive system, resulting in mucosal erosion, bleeding, shock, and even life-threatening. He particularly emphasized that because Uncle Yong also drank water to dilute and induce vomiting after eating caustic soda by mistake, the chemical reaction caused by caustic soda was more destructive to the digestive tract and easily induced complications.
Place the chicken feet in sodium hydroxide solution
Experts find ways to use the stomach to help him rebuild a "esophagus"
Unfortunately, Uncle Yong's entire esophagus was burned by chemicals, and he was diagnosed with severe corrosive esophagitis and esophageal stenosis, acute bronchitis pneumonia, pleural effusion, and needed further surgical treatment after scarring of the corroded esophagus. At that time, due to the infection and damage to the esophagus, it was necessary to receive anti-infection treatment first. On October 7, Uncle Yong and his wife, whose condition was initially under control, chose to be discharged from the hospital and returned to their hometown hospital for recuperation.
Unexpectedly, soon after, Uncle Yong, who was recuperating at home, deteriorated. Due to the narrowing of the scars, Uncle Yong's swallowing became more and more difficult, and finally he could not even swallow the saliva. The original weight of 130 pounds of his weight to only 100 pounds, can only rely on intravenous injection of nutritional injections and gastric tube nasal feed nutrient solution to maintain life, more seriously, due to accidental consumption of caustic soda caused by airway damage and inhalation pneumonia, he also had breathing difficulties, On October 21, he was sent to the first hospital of Zhejiang University for rescue, and after escaping from danger, he was transferred to the general chest surgery department for further surgical treatment.
In the domestic medical community, for patients with mild early esophageal burns, esophageal dilation, esophageal catheterization and esophageal stents are generally used, but injuries such as Uncle Yong - whole esophagus, part of the gastric chemical burns, are considered to be more difficult cases, generally wait for half a year to one year after the scar is stable before surgical treatment, with colon, jejunum or gastric esophagus reconstruction.
Considering Uncle Yong's pain, the general thoracic surgery experts of the First Hospital of Zhejiang University boldly used the surgical method of combining thoracoscopy and open abdomen to shorten the waiting period, after a comprehensive and meticulous preoperative assessment, on November 9, led by the chief physician of the General Thoracic Surgery Department, the chief physician of the general thoracic surgery ye qian, carried out the "esophagectomy + neck gastroesophageal anastomosis + gastroesophageal anastomosis + gastroesophageal anastomosis" for Uncle Yong, first in the thoracoscopy downstream of the chest segment of the esophagus and excision, then open the abdomen for "coronary stomach", and finally in the neck for gastroesophageal anastomosis, the operation was carried out for about 8 and a half hours.
The operation was very smooth, and after the meticulous care of the ICU medical team, Uncle Yong successfully broke through the customs and was safely discharged from the hospital on November 29, 2021. At present, he is gradually recovering his ability to eat solid foods and is regularly reviewed.
Be wary of chemical burns to the digestive tract! Mistakenly taking "caustic soda" should do this
According to experts, clinically, most of the cases of chemical burns in the digestive tract occur in preschool children, often due to accidental consumption of caustic soda, toilet cleaning agents, disinfectant water, air conditioning cleaners, etc. These alkaline (acid) chemical preparations have strong corrosiveness.
Accidental administration of these chemicals can result in mild damage to the mucous membranes of the mouth, pharynx, and esophagus. If the amount of accidental ingestion is large, it can also cause stomach and intestinal perforation, and later appear esophageal scarring, resulting in esophageal narrowing, and may even cause nervous system damage.
Take caustic soda in the text as an example
1.8% caustic soda solution, contact with the mucous membrane for 1 hour can cause superficial necrosis of the mucosa
10% caustic soda solution, contact for 1 minute can cause deep burns
30% caustic soda solution, only 1 second of contact can cause esophageal perlapse necrosis
#尤其要注意
After accidentally eating caustic soda
1
Do not induce vomiting.
Inducing emetics can cause the esophagus and oropharyngeal mucosa to be damaged again by the corrosive substances that are spit out. Therefore, do not carry out any measures to induce vomiting.
2
Do not drink plenty of water, milk, or egg whites (weakly alkaline).
Large dilutions may induce vomiting, further causing complications. In addition, the doctor may need further examinations after the patient arrives at the hospital, and some examinations require fasting and water. It is recommended not to eat or drink until the doctor has completed the initial assessment.
3
Do not drink vinegar or lemon juice.
Injuries usually occur instantaneously, and it doesn't make much sense to neutralize after drinking vinegar afterwards. Moreover, heat is also released during acid-base neutralization, which can cause further damage to related organs or tissues.
Accidental ingestion is detected
Be the first to go to a regular hospital for treatment!
Before your visit
Take pictures of suspicious food
Or bring it with you
Helps doctors deal with it
In life, pay attention
Never put a liquid that is dangerous
Pack in containers that are easy to accidentally eat, such as beverage bottles or wine bottles
Do not keep in places that are easily accessible to children and adults
It is recommended to lock and store to prevent accidental eating and drinking
Hopefully this tragedy won't happen again!