The summer vacation is coming, and the incidence of family "unsolved cases" is estimated to soar again, and parents should pay attention to it.
Recently, the Shanghai Children's Medical Center affiliated to Shanghai Jiao Tong University School of Medicine received such a case: Han Han (pseudonym), a 4-year-old child in Jiangsu, ran to the hospital for help because of accidental ingestion of a button battery, but fortunately, the medical staff used colonoscopy technology to remove it and turn the danger into a disaster.
On May 18, Han Han's grandparents went out to buy vegetables, and Han Han "stayed at home alone". After returning home, the old people found that only 3 of the original 5 button batteries on the table were left, and the other 2 could not be found.
In a hurry, the two elderly people informed Han Han's parents to return quickly and sent the child to the local hospital for treatment. After imaging examination - 2 batteries have reached the small intestine! Doctors told parents that once the battery is broken and alkaline chemicals leak, it will burn the gastrointestinal mucosa, cause bleeding, and even perforation, with unimaginable consequences. Since the battery is located in the small intestine, gastroscopic technique has become powerless and requires surgery.
In a hurry, parents rushed to Shanghai Children's Medical Center with their children overnight. After further localization by the Department of Gastroenterology, it was confirmed that the battery was stuck in the blind position at the junction of the small intestine and the colon, where the mucous membrane wall was thin and easy to perforate, and it must be treated as soon as possible.
The Department of Gastroenterology and General Surgery immediately set up a joint working group to study treatment options. In the past, surgery was first considered in such cases, but because the battery was located close to the colon, the team intended to try colonoscopic minimally invasive extraction. Because the battery is a circular structure and smooth appearance, it adds great difficulty to colonoscopy operation, even if the battery is "caught", it is difficult to ensure that the long colon can be dragged out smoothly.
Eventually, the working group decided to use the "snare" commonly used in polypectomy. After the calm cooperation of medical care, the two batteries obediently hooked and were removed from the body. When removed, the battery has been corroded, and chemicals may leak at any time, but fortunately the danger is eliminated in time.
The case has once again worried medical staff. It turned out that according to the statistics of the gastrointestinal endoscopy room of Shanghai Children's Medical Center, almost every day children who swallowed foreign bodies by mistake came to "pick up objects". Experts remind parents that one of the important ways for young children to recognize the world is to "eat", and accidental swallowing and eating often causes serious harm to children. Therefore, parents must pay attention to the care of children's behavior, do a good job in prevention, and avoid accidental injuries.
Author: reporter Tang Wenjia Correspondent Jiang Rong, pictures are provided by the hospital
Editor: Jin Wanxia
Editor-in-charge: Xu Qimin
*Wenhui exclusive manuscript, please indicate the source when reprinting.