Children are prone to tracheal foreign bodies, especially under 3 years of age
A tracheal foreign body can be fatal within minutes, and throat pricking is even more dangerous
Liquid foreign bodies are choked, which can cause greasy aspiration pneumonia and so on
What to eat for the child before the treatment, be sure to tell the doctor the truth
Recently, a 1-year-old and 11-month-old baby has been wheezing for several days. After several visits outside the hospital, the receiving doctor treated asthma bronchopneumonia with antibiotics and hormones, and the symptoms did not improve. The child was transferred to the Pediatrics DEPARTMENT II of Wuhan University People's Hospital.
"Could it be that it's not pneumonia but a foreign body in the airway?" A CT shot of the chest was taken and sure enough, there was something in the right main bronchi. The expert team urgently removed the foreign body with a bronchoscope that night, which turned out to be half a grain of peanut rice.
"On average, our department receives three to four such children per month." Dr. Liang Zhangwu of the Pediatric II Department of Wuhan University People's Hospital told "Rising Health Knowledge" that children's airway foreign bodies are more likely to occur in younger children, and after children are five or six years old, the possibility of airway foreign bodies is greatly reduced.
01
Swallowing function is not well developed
Children's trachea is prone to foreign bodies
Dr. Liang Zhangwu told "Sheng Jian zhi" that when the child swallows, "stuck by food" commonly has two places, one is the upper end of the esophagus, the esophagus is stuck, generally can be swallowed by the action or stimulate the pharynx to vomit; the other is the trachea, the trachea is the place where people ventilate, not allowed to block, otherwise it will affect ventilation and endanger life.
From the anatomical position, the trachea and esophagus of the human body are close together, the esophagus is in the back, and the trachea is in the front. There is a door at the upper end of the trachea, a call gate, and two vocal cords next to the glottis. For children, the closing function of the glottis is not perfect, and when the child eats, if the closing function is slightly disordered, it is easy to choke food into the airway when swallowing.
As the child grows, the swallowing function is slowly coordinated, the function of the glottis close is gradually developed, and the possibility of airway foreign bodies generally occurring after the age of four or five will be greatly reduced.
Dr. Liang Zhangwu told "Sheng Jian Zhi" that there is an age of prone to airway foreign bodies, generally within four or five years old. Children in this age group have two characteristics. First, he is full of curiosity about the outside world, catching some small things may be put into the mouth, if suddenly crying, the sound gate will open, this moment, the child's mouth is very easy to choke into the trachea.
The second characteristic is that children of this age are active when eating and prefer to eat things that interest him, such as nut snacks. After the nut food is crushed, it is easy to swallow the esophagus like porridge and rice when it is crushed, like peanuts, edamame, etc. After biting the crushed slag, it is easy to be sucked into the airway by mistake.
02
Beware!
These foods and utensils are most susceptible to getting stuck in the airway
The Department of Pediatric II of Wuhan University People's Hospital has an electronic endoscope for children, which was originally used for examination and treatment of children, and now it has also played a great role in taking foreign bodies.
Dr. Leung (center) and team colleagues are using endoscopy to give a child a foreign body of the trachea.
Dr. Liang Zhangwu told "Sheng Jian zhi" that on average, this electronic endoscope is used every month to remove foreign bodies that have been mistakenly inhaled into the airway for 3 to 4 children. Among the foreign bodies removed, peanuts, edamame, and nuts are the most common, and the more rare ones are pen caps and small bottle caps.
"During the Chinese New Year's Festival, children have the most foreign bodies in the airway." Dr. Liang Zhangwu and his team took out the most melon seeds from the child's trachea during the New Year.
In addition to food, clinically, it is also sometimes encountered when school-age children bite the pen cap when writing homework, and accidentally the pen cap gets stuck in the trachea.
03
The more the foreign body gets stuck in the throat, the more dangerous it becomes
Learning this trick at critical moments can save lives
When the child is choked to cry, many parents' first reaction is to reach out and try to pull something out of the child's mouth. Dr. Liang Zhangwu said that this is sometimes more dangerous, when you put your hand into the child's mouth, the child is afraid, he will cry harder, when crying the airway will be more open, foreign body inhalation will enter the deeper airway.
Dr. Liang Zhangwu told "Sheng Jian Zhi" that when it is found that the child's trachea is stuck by things, the correct way is to use the Hai's first aid method, and the specific operation process of this method is ——
Adults sit well, the legs form a flat platform, the child lies prone on the flat platform, the left hand is placed on the child's upper abdomen, the right hand continues to pat the back hard, the force of the beating is to compress the chest cavity by about 2 to 3 centimeters. Keep patting until the child spits out the foreign body. For safety reasons, during the beating, others in the family call 120 to send the child who cannot shoot the foreign body to the hospital with conditions as soon as possible.
04
What to eat for your child before the visit
Be sure to tell your doctor the truth
The 1-year-old and 11-month-old child at the beginning of the article, after experiencing wheezing symptoms and symptomatic treatment of pneumonia for more than ten days, was ineffective, and after taking CT, it was found that the situation of the child's lungs on both sides was completely different, there was a significant inflammatory response on the right side, and due to the blockage of foreign bodies, the two lungs were unevenly ventilated.
Dr. Leung is operating a endoscopy to give the child a foreign body from the trachea.
When doctors repeatedly asked whether the child had eaten foods that could easily cause tracheal foreign bodies, parents denied it. It wasn't until the doctor removed half a peanut from the child's body that the child's grandfather admitted that he had indeed eaten peanuts for the child.
Dr. Liang Zhangwu told "Rising Health Knowledge" that pediatric tracheal foreign bodies have been one of the main causes of children's death, clinically it is an emergency, children can suffocate within minutes of the scene of tracheal foreign bodies, and can also be hidden for a long time for several months, mostly under 5 years old, especially children under 3 years old, one of the main reasons for accidental injuries in children.
Parents' honesty can give doctors time to rescue and treat. Finally, Dr. Liang Zhangwu also added that foreign bodies that are easy to cause choking are not only solid, but also liquid food will be choked, such as milk, liquid foreign body choking will be more troublesome, and all objects are immersed in the lungs, which can cause oily aspiration pneumonia.
Reporter | Tian Qiaoping
Editor| Fei Yinmei Drafting & Cover | Ma Jingjing
Produced | Changjiang Health Media
Proofreading | Xiong Linlin
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