Qianjiang Evening News Hourly News Reporter Zhang Bingqing Correspondent Zhu Yaoling
Laundry gels, detergents, disinfectants and other daily necessities that are often prepared at home, if they are not careful, may become the "killer" of children's health.
In the past 2 weeks, the emergency department of Zhejiang University Children's Hospital has received 3 children injured due to the accidental ingestion of corrosive agents, of which 2 have entered the ICU, of which 1 is particularly seriously injured, and the lips, mouth, pharynx and larynx have been corroded, and their condition was critical for a time.
Wu Xiujing, director of the emergency department, reminded that most of the many washing cleaning supplies that are often prepared at home have certain corrosiveness, especially those that look like soft candy candy, and parents should especially keep it properly, in case they are mistakenly taken by children, the consequences will be unimaginable.
An 8-month-old baby accidentally ate a pack of caustic soda tablets
Sent to the ICU has not been out of danger so far
Just because I ate a packet of white powder
1 year old and 4 months old Xuanxuan, cute and very cute, the mother did not dream that the daughter who has been healthy and lively will live in the ICU, the cause is to eat the pipe dredging agent that is often prepared at home. When the family found out, she was already crying in the bathroom, coughing from time to time, there was a little bleeding in her lips, holding a package of dismantled pipe unclogging agent in her hand, there was scattered white powder on the ground, the family rushed her to the hospital, Xuanxuan was sent to the PICU and ventilated after emergency treatment in the emergency department. Fortunately, the medical treatment was sent in time, and there was not much to eat, Xuanxuan successfully withdrew after three days, and there was no longer a worry about her life.
1 year and 8 months of brilliance, walking more and more steadily, lively and active, he runs to the toilet from time to time, curiously touching here and there. What the family did not expect was that he actually turned over a pack of caustic soda tablets placed in the toilet cabinet, and successfully opened it, poured the caustic soda tablets into his mouth and ate it.
Image source: Visual China
After the family found out, they quickly took it off, and then tried to rinse him with water, but the wound in the mouth was more serious (this action is dangerous, strong alkali meets water and heat, which will cause a large area of burns to the oral mucosa). The family rushed him to the emergency department of Zhejiang University Children's Hospital, and the doctor found that his lips, mouth, and throat were very swollen and he was worried about his life, and after the emergency department was intubated, he was immediately sent to PICU. Cancan became the most seriously injured of these children, and has been living in the custody room for more than ten days, and has not yet been out of danger.
Do not let corrosive agents in the home
Become a "killer" of children's health
Nearly 50,000 children aged 0-14 die each year in China, an average of more than 130 per day, and according to the Chinese Center for Disease Control and Prevention, child unintentional injuries in mainland China account for 26.1% of all child deaths. In the past two weeks, the emergency department of Zhejiang University Children's Hospital has continuously received 3 children who mistakenly took corrosive agents, of which 2 children were admitted to PICU rescue and supervision.
In the past three years, a total of 39 cases of children with corticants who have been mistakenly taken by the emergency department of Zhejiang University Pediatric Hospital have been treated, including 21 cases of boys and 18 cases of girls; the age distribution is the minimum 4 months and 23 days, the maximum age is 7 years and 5 months, mostly in the age group of 1 year to 2 years old, a total of 22 cases; 7 cases in the age group of 2 years to 3 years old, and a total of 10 cases in the remaining age groups.
The most common cases of accidentally taking corrosive agents are 16 cases of pipe unclogging agents, 6 cases of caustic soda, industrial alkali, 4 cases of laundry gel beads, and others include hydrofluoric acid, potassium permanganate, sulfuric acid, various cleaning agents such as color bleaching powder, dirt cleaner, dust cleaner, automobile engine oil cleaning agent, and hair dye.
Statistically, misuse of corrosive agents is most common in infants and young children aged 1-3 years. Because children of this age are very curious, have learned to climb and walk, but lack of safety awareness, lack of necessary judgment, grab items and eat them in their mouths; the consumption of modern household cleaning products is increasing, various pipe dredgers and kitchen and bathroom cleaners, usually liquid, powdery or granular; concentrated clothing or dishwasher detergents, especially disposable small packaging products (capsules, gel bags or beads) are more and more common, such products are usually small in size and brightly colored, The appearance is similar to candy, and children can easily mistake it for candy to eat in their mouths.
After ingestion of caustic agents, corrosive injuries of the lips, mouth, pharynx and larynx, corrosive esophagitis, corrosive gastritis, esophageal ulcer formation, inhalation pneumonia, etc. can occur in severe cases, esophageal stenosis, esophageal perforation, tracheoesophageal fistula, vocal cord paralysis, aortic arch perforation, mediastinitis, spinal discitis, gastric bleeding and perforation, intestinal perforation, and even death. The incidence of esophageal stenosis after ingestion of alkaline corrosive agents is 47% to 90%, and the incidence of esophageal stenosis after ingestion of acidic corrosive agents is 6.5% to 50.0%. The literature reports that children may have gastrointestinal tumors 15 to 40 years after ingestion of corrosive agents, and the incidence of gastrointestinal tumors in children who have had corrosive damage to the digestive tract is 3,000 times higher than that of those who have not ingested corrosive agents.
Wu Xiujing suggested that parents who find that children mistakenly take corrosive agents can do this -
1. Send the child to a hospital with treatment conditions such as children's endoscopy at the first time. Take care to prevent vomiting, suffocation and aspiration on the way.
2, it is best to bring the corrosive agent product or outer packaging or instructions.
3. It is forbidden to induce vomiting or gastric lavage therapy, because if vomiting causes gastric contents to contact the esophageal mucosa, it may cause additional esophageal damage.
4. The neutralizer cannot be used because of the fear that the heat released during the neutralization process will cause additional damage.
5. Thinners (such as milk or water) cannot be used because of safety concerns and lack of efficacy. The safety issue with taking thinners is that ingesting a lot of thinners can induce vomiting, which can lead to further complications. Acute airway swelling and obstruction are contraindications to diluents. (This is a mistake that parents are prone to make, which is especially alarming.)
6. For children who consume acidic or alkaline corrosive agents (such as sodium hydroxide or potassium hydroxide, or hydrochloric acid or sulfuric acid), activated charcoal is usually not used. Because activated carbon obscures the endoscopist's field of vision, activated carbon is not easy to adsorb highly ionized small molecule chemicals.
7. It is best to inform the emergency department doctor in detail and accurately about the type, intake, intake time, last feeding time and water intake time.
In addition, parents, as the caregivers of their children, should also pay attention to the following matters to avoid such accidents.
1, a large number of detergent can not be placed at home, especially in the kitchen.
2. Chemicals stored in the home such as caustic soda tablets, sulfuric acid, etc. should be placed on the locked cabinet and the upper shelf, and put back in place immediately after use.
3. If some chemical materials are kept in a labeled container, and kept tightly sealed.
4) Parents should avoid storing these chemicals in everyday, unlabeled beverage bottles, especially in containers known to store edible substances.
5. Do not place any household cleaners or detergents in places where children can reach.
6. Children, especially young children under the age of 5, must not be placed in any space or environment where there is an unexpected risk.
This article is the original work of Qianjiang Evening News, without permission, it is forbidden to reprint, copy, excerpt, rewrite and carry out network dissemination of all works of copyright use, otherwise this newspaper will follow judicial channels to pursue the legal responsibility of the infringer.