"Mom, I swallowed a 'gem.'"
Recently, the 4-year-old little girl Orange Orange (pseudonym) told her mother.
After a while, the child also appeared to have a lot of saliva,
stomach discomfort and other symptoms,
Anxious family members rushed to send the child to the emergency department of Shaoxing People's Hospital.
The doctor on duty in the emergency department hastily notified Liu Weirong, the deputy chief doctor of the Department of Pediatric Internal Medicine, who is resting at home. Liu Weirong, who rushed to the hospital, learned from the parents that the child ate a "crystal gem" pasted. Subsequently, the otolaryngologist first examined the child's pharynx and found no foreign body, and then immediately performed a neck CT. CT found that the child had a high-density image of the upper end of the esophagus, which should be the foreign body swallowed.
In pediatric internal medicine, Liu Weirong intended to remove the foreign body through the gastroscope, but the child's fasting time did not meet the requirements of anesthesia, and it was impossible to take the foreign body under anesthesia, and could only use the ordinary gastroscope to remove the foreign body. In order to remove the child as soon as possible and prevent the child from perforation of internal organs, three doctors and a nurse fixed the child together, and finally the foreign body was successfully removed through the gastroscope, and the "jewel sticker" was finally removed.
The child's mother told Liu Weirong that the "jewel stickers" were originally pasted on the table, and she did not know how the child cut it down and put it in her mouth, and maybe the child slipped into the throat when running and talking.
Liu Weirong said that the case of young children eating foreign bodies by mistake often occurs, and in his medical experience, he has taken out all kinds of foreign objects, including toys, coins, date cores, bones and even earrings and hairpins for adults. He said that the general small size, blunt edge, non-corrosive and short incarcerated time of esophageal foreign bodies, in time to take out nothing, but as doctors, they are most afraid of children swallowing is similar to button batteries, magnetic beads and other foreign bodies that are seriously harmful to the body. Coin cell batteries are usually strongly alkaline, extremely corrosive, and can cause serious burns, esophageal stenosis and other complications in only 2-2.5 hours after being embedded in the esophagus.
remind:
Children are curious, easy to eat foreign bodies by mistake, in case of finding that children swallow foreign bodies, do not use the old method of "home remedies", such as feeding with food, and want to let the foreign body swallow and finally excrete, this method is not correct. At this time, it is best to use the Heimlich method to flush out the foreign body. If it is a foreign body in the esophagus, the foreign body stays in the narrowing of the esophagus, and the child will not be able to swallow, vomit, droole, and pain in the throat, neck, chest or abdomen; there may also be cough, breathing difficulties, etc., then it is necessary to send it to the hospital as soon as possible.