Jimu news reporter Li Manying
Correspondent Wen Honglei Huang Jieying
On February 8, the Jimu News reporter learned from the Hubei Provincial Maternal and Child Health Hospital that during the winter vacation, especially during the Spring Festival, children swallowed foreign bodies by accidents frequently, and the pediatric respiratory medicine department of the hospital will receive foreign body inhalation children every day, of which small babies are easily choked by nuts, school-age children often swallow stationery, and experts remind parents to be vigilant and strengthen care.
A 1-year-old baby is stuck in his left and right lungs with two peanuts
Duoduo (pseudonym), who has been living in Xianning for 13 months, lived in Xianning, and at 12 noon on February 6, when his family did not pay attention, he grabbed two peanuts and rice to eat, but unexpectedly there was a violent cough and difficulty breathing. Parents immediately sent Duoduo to the local hospital for treatment, CT examination found that there was a foreign body stuck in the main bronchi of the right lung, it is recommended to immediately send to hubei provincial maternal and child health hospital for treatment.
At 4 p.m., the parents drove Duoduo to the Hubei Provincial Maternal and Child Health Hospital, and the emergency department doctor found that Duoduo's face was cyanosis after receiving the treatment, and the small chest was deeply sunken in each breath, which was obviously difficult to breathe, and the CT examination of the hospital found that there was also a foreign body in the main bronchi of the left lung, and he was quickly sent to the Pediatric Intensive Care Medicine Department.
Considering the seriousness of the situation, the Department of Pediatric Critical Care Applied for a Green Channel, and Dr. Shi Buyun and Nurse Hu Qian of the Pediatric Respiratory Medicine Bronchoscopy Center performed bedside bronchoscopic foreign body surgery for the children, and the two small peanut kernels of the left and right lung main bronchials were removed successively with a foreign body net basket. Subsequently, Dodo's breathing difficulties quickly improved.
"When the child was examined at the local hospital in Xianning, only one lung had a foreign body, which may be bumpy and crying on the road, and a peanut kernel moved to the other side of the lung." According to the doctor, this situation is quite dangerous, fortunately, the main bronchi of the left lung is not completely blocked, and the child still has weak breathing.
A 9-year-old swallows a ballpoint pen tip while doing homework
Babies are easy to cough nuts, and the older children have not "stopped", around the New Year, Hubei Provincial Maternal and Child Health Hospital has treated a total of 3 cases of school-age children who have missored stationery such as ballpoint pen heads and pen caps.
On the afternoon of February 3, 9-year-old Kiki (pseudonym) screwed the ballpoint pen tip off while doing his homework, played with it in his mouth, and tried to whistle with the tip of the pen, sucking the tip of the pen into the throat with greater force during one inhalation. Hearing Kiki coughing loudly, the mother ran to take a look, the child's small face was red, she quickly did Heimlich first aid for Kiki, the child's face improved a little, but still did not spit out the pen. The mother thinks he may have swallowed it in her stomach and hopes that the child will excrete it on her own.
After dinner, Kiki's breathing grew heavier in the quiet room, and his mother decided to take him to the doctor. Dr. Ren Jiahong of the Department of Pediatric Respiratory Medicine of Hubei Provincial Maternal and Child Health Hospital received Qi qi and found a circular high-density shadow in the middle of the right lung through CT examination.
Considering that the shape of the pen tip is large and small, the top aperture is narrow and the tube wall is smooth, coupled with the fact that it is easy to breed granulation tissue, and the process of removal needs to go through a narrow glottis, it is easy to get stuck or fall off, and it is extremely difficult to remove. After sufficient preoperative discussion and evaluation, Dr. Ren Jiahong and Nurse Hu Qian decided to perform bronchoscopic foreign body surgery for Kiki immediately. During the operation, a silver tip of about 16 mm ×9 mm was stuck in the right middle dry bronchi, closely fitting to the airway, with the tip facing down and the large head facing upwards, and the air flow struggled to enter and exit through the small hole in the tip. Finding a foreign object, but it is not easy to remove it. After urgent consultation with the tracheoscopy team, it was decided to adopt the preferred scheme, firmly clamp the pen head with foreign object forceps, find the angle, quickly pass through the glottis, and successfully remove the foreign body once "fast and accurately".
Wu Yabin, director of the Department of Pediatric Respiratory Medicine, introduced that babies under the age of three are the main group of people who have inhaled nuts by mistake, and the center has taken out nuts such as peanuts, melon seeds, walnuts, pistachios and even hazelnut shells; school-age children mainly swallow stationery and toys by mistake, and even dangerous items such as diodes. Parents should pay attention to the care of children during the holidays, children under 3 years old do not touch small items, beware of accidental eating, try to beat nuts into powder to eat, and the eldest children should do a good job of education and reminders, do not swallow foreign bodies by mistake in play.