Talking about the experience of the previous day,
The patient's mother, Ms. Chen (pseudonym), still has palpitations.
"The child is now in the period of oral desire,
I usually focus on small items such as buttons, coins, and small marbles.
But I didn't expect that inconspicuous hair strands could also hurt children. ”
There are strands of hair at the corners of your baby's mouth
You can't pull it with your hands
On May 7, Hainan Provincial People's Hospital received a rare case in which a 7-month-old baby accidentally swallowed a strand of hair, which was tied in a knot in her throat and tightly strangled the baby's uvula (commonly known as "little tongue").
Ms. Chen, who lives in Ding'an County, has two treasures, Dabao is 1 and a half years old and Xiaobao is 7 months old. On the day of the incident, Ms. Chan accompanied the child to sleep as usual, but as everyone knows, danger is quietly coming.
At around 6 a.m., Ms. Chen got up to breastfeed Xiaobao, but the baby was crying and refusing to eat. Ms. Chen looked at it and found that there were strands of hair at the corners of the baby's mouth, "I tugged it with my hand, and found that I couldn't pull it, and I couldn't see where the other end was when I opened the child's mouth." ”
An anxious Ms. Chen immediately took the baby to the ENT clinic of the local hospital, where the doctor on duty found that the other end of the baby's hair was deep in the throat and could not be seen with the naked eye. At the same time, the baby is still crying and very resistant to examination.
In the end, it was found that the hair was tightly wrapped around the baby's uvula and was difficult to remove, so the local doctor recommended going to a higher-level hospital for treatment.
Schematic diagram of the uvula
The hair is too tightly tangled
The "little tongue" tissue is severely edema
Ms. Chen hurriedly took the child to the ENT outpatient clinic of the Provincial People's Hospital, where the attending doctor tried many tools and tried to remove the hair, but it was in vain because the hair was too tightly entangled.
At this time, five or six hours have passed since the child's uvula was found to be entwined with hair, and the uvula tissue is severely edema, and the baby is still crying.
Considering the urgency of the situation, the doctor finally recommended general anesthesia to remove the foreign body.
"The hair is very tight in the throat, Xiaobao is too young to control the twisting left and right, hard pulling will tear off the hair or tear the uvula, after a long time, I am worried about the edema of the uvula tissue, affecting the child's breathing and even necrosis, once the uvula is necrotic, it may cause lifelong damage to Xiaobao swallowing reflux and dysphonia, and must be removed under general anesthesia as soon as possible."
Ms. Chen agreed to the doctor's plan.
Rare!
Experts say they have never encountered similar cases
After admission, the otolaryngology medical team immediately completed the relevant examination for the baby, assessed the basic situation, and urgently carried out emergency surgery for foreign body removal, the surgeon needs to overcome a series of problems such as the baby's young age, special location, poor exposure of the surgical field, and small operating space.
During the operation, the doctor Deng Guoqing first hooked the hair strands with a foreign body hook, and then used a sickle knife to cut off the lower edge of the hair strands, and carefully removed the broken hair strands.
Hair that is eventually removed from your baby's mouth
After the operation, the area was observed and no foreign body was found in the oral cavity, there was no bleeding or tissue damage in the oral cavity, and the uvula gradually returned to the color of normal tissues.
Liu Shuzhou, deputy chief physician of the Department of Otolaryngology of the hospital, said: "I have been engaged in the clinical specialty of otolaryngology for more than ten years, and I have never encountered similar cases. Fortunately, our team dealt with it in a timely manner and did not cause further harm to the baby. There was no bleeding during the operation, and no special care was required after the operation, so I was discharged from the hospital the next day. ”
ENT experts remind:
Parents must pay attention to hygiene when taking their children, and always help their children clean up the hair around them, or small strings similar to hair. Especially after 3 months of baby, because they have slowly learned to turn over, crawl, stand, have the ability to move on their own, the baby in the oral period still likes to put objects in the mouth, but there is no sense of safety.
In previous cases, hairpins, pen caps, glass marbles, button batteries, rings, coins, date pits, peanuts, melon seeds and other nuts, and even medicines are all foreign bodies that young babies are easy to swallow accidentally. Parents should pay special attention to keeping these small items well to prevent accidents.
In the event of accidental ingestion or aspiration, first aid should be given immediately as appropriate, and at the same time go to the hospital for treatment.
Source: Guangzhou Daily synthesized from Hainan Provincial People's Hospital and Hainan Special Zone Daily