Modern Express News (correspondent Wang Yikun reporter Zhang Xiaopei) In the early morning of February 3, the Affiliated Hospital of Xuzhou Medical University received a special patient urgently referred by Suining. That night, while taking medicine, the man accidentally inhaled the capsule medicine into the airway along with the outer packaging tin foil and plastic plate, and the situation was very critical.
△ Capsules and outer packaging are swallowed by men
Hao Lu, the doctor on duty in the Department of Respiratory and Critical Care Medicine, received a call for emergency consultation and rushed to the emergency department. Through chest CT, it was found that the distal end of the man's trachea showed a regular abnormal high-density shadow, and after three-dimensional reconstruction, the distal end of the trachea and the upper edge of the ridge were seen in this rectangular foreign body, about 2.6 cm long and about 1.3 cm wide, with smooth edges, and the four corners were very sharp, tightly stuck in the middle of the trachea.
Because the packaging plastic plate of the capsule drug is cut with scissors, the edge is very sharp, and if it is not careful, it may scratch the airway, cause bleeding, tracheal edema, and more seriously may suffocate the patient. Moreover, the patient has developed a severe cough and blood streaks in the sputum.
With the help of the emergency room, after Hao Lu consulted with the doctor on duty in the thoracic surgery department, the doctors agreed that the foreign body was larger and sharper, and there was a risk of further scratching the airway mucosa and bleeding, and even large hemoptysis. But if the chest is open, the surgery is traumatic and costly... Several thorny issues are entangled.
The patient keeps coughing, the state is getting worse and worse, what to do? After the fierce discussion between the two directors of the medical team Zhang Zhiliang and Li Sinan, the diagnosis and treatment opinions were put forward: in order to prevent the possibility of asphyxia, it is preferable to use foreign body forceps under bronchoscopy to remove foreign bodies, and at the same time contact relevant departments to prepare for surgical surgery due to the failure of endoscopic treatment.
△ Doctors endoscopically pinnacle the foreign body
After communicating with the family, the department urgently coordinated the staff of the bronchoscopy room, and for a time, Zhang Miao, deputy chief physician and Nurse Wu Ting, rushed to the hospital immediately... In this way, an emergency treatment team led by Zhang Zhiliang was established. During the operation, Zhang Zhiliang carefully delivered the bronchoscope to the patient's airway, exploring forward little by little, when seeing the stuck capsule, Zhang Zhiliang and the people in the treatment group held their breath, gently clamped the foreign body, slowly adjusted the endoscopic posture, avoided scratching the mucosa of the airway as much as possible, and when pulling back, constantly adjusted, and finally successfully removed the foreign body.
After taking it out, the leader of the rescue team breathed a sigh of relief, the solemnity on his face dissipated, and smiled at each other to show encouragement. "It took less than ten minutes, but we felt like we had been an hour away and our heads were sweating." Zhang Zhiliang said.
After the operation, the man did not have obvious sputum with blood, the cough was significantly alleviated, and the family members kept thanking the medical staff.
(Courtesy of the correspondent)