Recently, Ms. Zhang's family had a dinner, and she specially made a special oil-fried river shrimp. The family was happy to eat and talk while talking, did not think that this shrimp slid into Ms. Zhang's throat, Ms. Zhang felt that the throat "stuck" a little, suddenly a cough, but nothing can be coughed out, a moment later the symptoms have been alleviated, Ms. Zhang thought that the river shrimp had "swallowed" the stomach.
Unexpectedly, the next day, Ms. Zhang's cough worsened, and two days later, she found that the cough was accompanied by bright red blood, and the amount of blood heptysis was quite large and increasing. Ms. Zhang was very worried and went to the Pudong New Area People's Hospital for treatment.
Yang Hua, deputy chief physician of the Department of Respiratory Medicine, inquired about the medical history in detail, learned that Ms. Zhang was choked by the food river shrimp three days ago, then coughed, and then hemoptysis appeared, ms. Zhang still did not stop hemoptysis and blood volume, accompanied by chest pain, this series of symptoms caused Yang Hua's vigilance, immediately arranged Ms. Zhang emergency CT, after examination found that the patient's right lung bronchial has a foreign body shadow, considering that the river shrimp choked into the trachea caused coughing blood, the situation is critical, and it is necessary to urgently carry out bronchoscopy.
Soon, the tracheoscopy, surgical instruments and various tasks were all prepared, and with the close cooperation of the respiratory medicine team, in just 3 minutes, a river shrimp that had choked into the trachea, was about 3 cm long, stained with blood and had begun to rot was completely removed. A few days later, Ms. Zhang was discharged from the hospital safely.
Why do airway foreign bodies form?
Let's start with the anatomy of the larynx. The laryngeal tracheal opening and the esophageal opening are adjacent to each other, but the laryngeal cavity has one of the most flexible tissues in the human body, the epiglottis. When speaking or breathing, the epiglottis rises, leaving the laryngeal cavity open; when swallowing, the epiglottis descends, covering the larynx (the top of the trachea) so that water and food cannot enter the esophagus.
When eating, talking, laughing, and even eating too fast, the epiglottis may fail to regulate, and it may cause foreign bodies to jam the throat or enter the airway, especially for the elderly with lax epiglottis and children with throat insufficiency. Common airway foreign bodies, such as shrimp, chicken bones, pepper heads, melon seed shells, dentures, etc.
Approaching the Spring Festival, it is inevitable that the number of meals between relatives and friends will increase. Dr. Yang Hua reminded everyone that he hopes that while doing a good job in epidemic prevention and control, everyone will control the rhythm of eating and prevent choking and coughing. Once a foreign body is inhaled, it is necessary to stop eating immediately and go to the hospital as soon as possible to avoid dangers such as suffocation. Second, at the time of presentation, if there is a history of foreign body inhalation into the airway, the patient should inform the receiving doctor in detail.
Editor-in-charge Deng Qingyuan
Source Pudong Release