Modern Express News (correspondent Jiang Rong Ji Chunyan reporter Wang Xiaoyu) Recently, when a woman in Lianyungang was eating fish at home, she accidentally swallowed a fish thorn, which was a small fish thorn that almost caused a big incident, and the fish thorn penetrated the woman's esophagus after entering the esophagus, only 1.5 mm from the nearest aorta, and once the aorta was punctured, the consequences were unimaginable. Fortunately, after the doctor's timely operation, the fish bones were successfully removed, and the woman was out of danger.
△ The fish thorn that pierced Ms. Wang's esophagus
At noon on March 21, Ms. Wang (pseudonym), who lives in Guanyun, was enjoying delicious crucian carp when she accidentally swallowed a fish thorn by mistake. Ms. Wang quickly drank vinegar and swallowed rice, but after some operation, she still did not see any improvement, and it became more and more uncomfortable.
Ms. Wang immediately ran to the local hospital for treatment, and after a chest CT examination, it was found that a foreign body in the middle of her esophagus penetrated the esophagus. Local doctors consider that foreign body removal is more risky and recommend immediate medical referral.
Ms. Wang was quickly transferred to the emergency department of the First People's Hospital of Lianyungang City, and after receiving the treatment of Wang Kun, the attending physician of the Gastroenterology Department on duty, he immediately arranged a review CT, and a fish spine was clearly visible in the film, which was about 3 cm long, and the lateral caton was in the middle of Ms. Wang's esophagus, and both ends had penetrated the esophageal wall. Even more sinister, one end pierces into the space between the trachea and the aorta, clinging to the aorta. In this case, hastily removed, it may lead to rupture of the aorta and heavy bleeding.
The aorta is the largest artery in the human body, and once it ruptures, a large amount of blood will suddenly rush to the heart, endangering life.
Wang Kun immediately reported the situation to the section director Lu Shengxiang, who immediately coordinated with CT experts to rebuild the three circumferences of the fish bones. The results of the three-dimensional reconstruction show that the fish spines have not yet pierced into the aorta, but are only 1.5 mm away from the aorta at the nearest point.
△ During surgery
Due to the long time of fish spine clamping, Ms. Wang's infection index data has risen, considering that there is an infection with perforation and suppuration, it is likely to corrode the surrounding tissues, resulting in esophageal tracheal fistula, secondary aortic rupture and heavy bleeding and other dangerous situations.
Must be operated as soon as possible, Lu Shengxiang immediately through the emergency green channel to treat Ms. Wang into the hospital, at the same time, emergency contact to the operating room, inform the anesthesiologist to prepare the material, on the other side of the endoscopy center nurse Xin Qichen has quickly prepared the endoscopic equipment to push to the operating room.
In the early morning of the 22nd, after general anesthesia gastroscopy, the fish bones that penetrated Ms. Wang's esophagus were successfully removed. After two days of anti-infection treatment, Ms. Wang has been cured and discharged from the hospital.
(Courtesy of the hospital)