Thrilling! The 3-year-old child swallowed the coin by mistake, and the multidisciplinary collaboration of Wuming Hospital affiliated to Guangxi Medical University took out the coin overnight!
At about 21:00 on the evening of March 9th, the emergency department of Wuming Hospital Affiliated to Guangxi Medical University came to a 3-year-old "Cocoa (pseudonym)" child, whose face was painful and whose parents were anxious! It turned out that the Coco kid had swallowed a coin by mistake after dinner!
The emergency department physician immediately gives a viable emergency CT examination, which indicates a circular, high-density shadow on the esophagus, consistent with the description of the cocoa parent. This time, the parents of Coco's children are even more anxious, and the parents of the world are pitiful! This small coin may not be too much of a problem for adults and can enter the stomach with the peristalsis of the esophagus without forming a stuck pressure. But for a 3-year-old toddler, it is obvious that the coin did not enter the stomach with the esophagus, and the movement of the pressed coin may scratch the esophagus and surrounding blood vessels, and even cause life-threatening!
The situation is urgent! The medical department quickly organized a multidisciplinary consultation to discuss the coin removal plan, and finally decided to undergo foreign body removal in the gastroscopy room under general anesthesia. How to safely remove the coin is a challenge for the surgeon, and how to ensure the safety of the child during the removal of the foreign body is another challenge for the anesthesiologist. Coco children have just finished dinner at night, there is still a large amount of undigested food in the stomach, and there may be vomiting and aspiration during the anesthesia process, which poses a serious threat to the life of the child. Not only that, cocoa children usually sleep with a serious "snoring" sound, bilateral nostrils do not breathe, which undoubtedly increases the risk of anesthesia, and may even appear in the anesthesia process of airway obstruction can not be ventilated and other life-threatening situations, anesthesia risk is huge.
After the comprehensive assessment, the director of the anesthesia surgery department instructed that the perioperative period should be prepared for crisis events, try to avoid crying and excitement, and ensure the safety of the children. Anesthesia can be performed using our newly developed Parent-Accompanied Comfort Anesthesia Program.
After preparing anesthesia and rescue drugs, Dr. Lu Jianhui let Coco's father hold Coco into the gastroscopy room, while letting Coco chat with her father to divert her attention, while slowly injecting anesthetic drugs, Coco fell asleep unconsciously, and the anesthesiologist quickly completed general anesthesia.
Under the skillful endoscopic operation of the director of gastroenterology, the "dime" coin was successfully removed! After the operation, Coco woke up slowly and smoothly in the company of his father, and his condition turned critical, and there were no complications such as vomiting and aspiration, pneumothorax, and heavy bleeding!
The next day after the operation, Coco's children successfully recovered and were discharged from the hospital, and Coco's parents were relieved and thankful! This is really not a simple "dime"!
Popular science knowledge
Children's anti-"alien" popular science knowledge:
Teach children not to develop the habit of mouth inclusions;
When mouthing food, do not make children cry and laugh;
When vomiting occurs, the head should be tilted to one side to avoid aspiration;
Try to induce the pharynx to spit out foreign bodies when they are present, and cannot be dug up with fingers;
Children younger than 3 years old should eat as little dried fruits and beans as possible;
Small items should be kept out of the reach of children, and young children should play under supervision.
First aid measure NO.1
Freehand first aid is suitable for when inhaling foreign bodies has difficulty breathing and suffocation.
1. Epigastric pat squeeze method (Heimlich method):
Suitable for children over 1 year old, pay attention to the intensity of the operation, can be repeated 5 to 10 times. Excessive force or improper handling carries the risk of injury to abdominal and thoracic organs.
2. Back patting method:
Suitable for infants under 1 year of age. Note that the head is lower than the body and can be repeated multiple times.
Transport NO.2 transshipment
Once inhalation of a foreign body from the airway or esophagus occurs, the child should be promptly taken to a hospital where the foreign body is available. On the way, pay attention to minimize various irritations, avoid crying and coughing, and keep quiet.
(Source: Department of Anesthesia Surgery, Wuming Hospital, Guangxi Medical University)
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