Who would have thought
This turned out to be the index finger of a 1-year-old
(The picture is high-energy, click to display!) Be careful↓)
It was this blackened, swollen index finger
Let Henan 1-year-old Tutu (pseudonym)
Admitted to the Pediatric Intensive Care Unit (PICU)
Life-threatening
And the culprit is
↓↓↓
Infection caused by a barb
Barbs cause accidents
Recently
The family found Tutu's left index finger
A barb
I didn't even think about it
Followed by
The unexpected happened
The next day, a small abscess grew at the barb site, and the family found a fine sewing needle to break the abscess. Tutu began to have a fever that day and developed a red rash. The local hospital prescribed anti-inflammatory, but Tutu's symptoms continued to worsen after taking the drug.
On the morning of the third day, Tutu's index finger turned black, and taking medicine and smearing medicine could not change the symptoms of hardness, swelling and burning. In the afternoon, the hard swelling spread to the palms, forearms, and left upper limbs, the back of the hands was swollen like bread, the skin was even hotter, and the body temperature was as high as 40.5 degrees Celsius. Tutu's spirit deteriorated and his urine output decreased.
The family rushed Tutu to him
Visit a local hospital
Doctors recommend after examination
Transfer to a higher 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
There are symptoms of cyanosis of the lips, vomiting, and complete anuria
The situation is critical
Examined by the emergency department doctor of the Provincial People's Hospital
Tutu was diagnosed as
Sepsis, septic shock
Cutaneous cellulitis, renal impairment
Immediately retract to
Pediatric Intensive Care Unit (PICU)
On admission
Tutu cardiopulmonary failure
Lives are at stake
Pediatric Critical Care Team
Used for the diagram
Artificial Heart Lung (ECMO)
After 4 consecutive days of rescue by ECMO
After 7 days of ventilator support
Tutu was out of danger
This is followed by further treatment
Tutu blackened fingers
It also gradually returned to its normal color
How can a small barb be a disaster?
Barbs have serious implications
According to Shi Changjin, the director of pediatrics who received the treatment, it was the first time that such a serious infection caused by barbs was seen in PICU. After strict examination, Tutu did not have congenital immune deficiencies, it is likely that the number of pathogens infected by the wound, the virulence, coupled with the child's low immunity at that time and other comprehensive factors, eventually led to serious consequences.
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.
Near fingernails
Why is it the hardest hit area for barbs?
The main reason
↓↓↓
The skin around the nails does not have hair follicles, sebaceous glands and sweat glands, and lacks the moisturizing effect of oil and sweat, and the skin is easily lost moisture, resulting in 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.
Since finger barbs are mainly due to dryness, we can help improve the problem by moisturizing and replenishing oil. Don't pick, don't tear! In addition to pain, it can cause new skin damage and infection, and in severe cases, paronychia and periungual abscesses, which can cause more serious infections and even health risks if fungi or bacteria spread further through the wound.
Barbs appear
Be sure to refrain from it
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 to massage and 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 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.
Comprehensive: Newsroom, Guangzhou Daily, Henan Provincial People's Hospital, Guangzhou Institute of Dermatology Prevention and Treatment, China Food and Drug Regulatory Journal
Source: Oriental.com