Parents grabbed it, and the 1-year-old baby almost died! This situation must be endured
This is one
Blackened, swollen index finger
The owner of the index finger -
A child as young as 1 year old
When the disease is at its worst
Treatment in the Pediatric Intensive Care Unit (PICU).
and life-threatening infections
It turned out to be caused by a barb!
Barbs cause accidents
A few days ago, the family found out
1-year-old Tutu (pseudonym)
The index finger of the left hand has a barb
I didn't even think about it
Oddly enough, the next day
A small abscess grew at the barb site
The family found a fine sewing needle
Picked the abscess out
On the same day, Tutu began to have a fever
Soon he developed a red rash
The local hospital prescribed anti-inflammatory drugs
After taking the medicine, the symptoms are still getting worse
Day 3 morning
Tutu's index finger turns black
Hard, swollen, hot
Taking medicine and smearing medicine do not work
In the afternoon, the swelling spreads
Palm, forearm, left upper limb
The back of the hand was swollen like bread, and the skin was even hotter
Body temperature up to 40.5 degrees Celsius
Tutu's mental deterioration and decreased urine output
Urgently go to a local hospital
The doctor suggests: transfer to a higher level hospital as soon as possible!
With all his best efforts to rescue, the child finally turned the corner
On the way to Henan Provincial People's Hospital
Tutu began to get irritable
cyanosis of the lips, vomiting
Complete anuria and critical condition
In the provincial emergency department
Tutu was diagnosed as:
Sepsis, septic shock
Cutaneous cellulitis, renal impairment
Immediately retract to
Pediatric Intensive Care Unit (PICU)
At check-in, Tutu suffered cardiopulmonary failure
The maximum dose of vasoactive drugs
Nor can blood pressure and tissue perfusion be maintained
Lives are at stake
The pediatric intensive care team was urgent for him
Hands-on Artificial Heart Lung (ECMO)
ECMO was rescued for 4 consecutive days
After 7 days of ventilator support
Tutu was out of danger
After further treatment
Blackened fingers
It also gradually returned to its normal color
How can a small barb cause a catastrophe?
Shi Changjin, director of pediatrics of the receiving hospital, introduced:
This is the first time that barbs have caused such a serious infection in PICU.
After strict examination, Tutu did not have congenital immunodeficiency. It is likely that the combination of various factors such as the large number and virulence of the pathogens infected by the wound, coupled with the child's low immunity at that time, eventually led to serious consequences.
Barbs have serious implications
Doctor's Reminder:
Barbs are a very common phenomenon, and there is a scientific name in medicine called "reverse peeling". However, if not handled properly, it may cause more serious infections. There have been patients who had purulent dactymphitis caused by barbs and had to undergo surgery.
Repeated barbs on fingers, the main reason is that the skin around the nails is more special, here is different from other parts of the skin, there are no hair follicles, sebaceous glands and sweat glands, lack of oil and sweat moisturizing effect, so it has become the hardest hit area of barbs. The weather is cold and dry, without the protection of sebum, the skin is easy to lose moisture, and then cracking and peeling.
In addition, frequent hand washing, contact with chemicals such as hand sanitizer and laundry detergent, or playing ball may also aggravate barbs. Because detergents or physical stimuli can further remove the skin's oil, causing the stratum corneum to lose protection, exacerbating skin dryness and peeling.
Therefore, finger barbs are mainly due to dryness, and we can help improve the problem by moisturizing and replenishing oil. Don't pick, don't tear, in addition to pain, it will cause new skin damage and infection, and in severe cases, paronychia and periungual abscess, if fungi or bacteria spread further through the wound, it may cause more serious infections and even endanger health.
The appearance of barbs must be restrained from the idea of "violent" treatment
ask
So how to deal with it?
answer
You can soak in warm water at about 40 ° C for 3-5 minutes, you can also use moisturizer massage to soften the skin, then disinfect the skin around the barb with alcohol, use a disinfected tool to trim along the root of the barbed skin, and finally apply emollient milk such as vitamin E milk, allantoin, cod liver oil, etc., all of which have a good effect of protecting and moisturizing the skin.
Try to avoid excessive skin cleansing in daily life, reduce physical friction and correct bad habits of gnawing. Wearing gloves to protect the skin of the hands during housework can not only prevent barbs, but also reduce the occurrence of eczema on the hands.
If the barb is severe, vitamin B12 and vitamin A, compound glycyrrhizin tablets can be taken orally under the guidance of a doctor; Apply retinoids ointment or adapalene gel every night before going to bed, and also apply topical skin cream to hands in the morning; Avoid spicy, irritating foods.
If skin infections such as paronychia occur, it is recommended to use antibiotic ointments for care, and if there are repeated attacks, go to the hospital for further treatment as soon as possible.
Guangzhou Daily is synthesized from Henan Provincial People's Hospital, Guangzhou Institute of Dermatology Prevention and Treatment, and China Food and Drug Administration