Peninsula reporter Liu Xuelian
A 4-year-old child, swallowing a steel nail nearly 5 centimeters long... This thing, is not to think about it and feel the back tingling.
Just on the second day of the Mid-Autumn Festival holiday, the Department of Pediatric Surgery of Qilu Hospital (Qingdao) of Shandong University received such a child, and when the child arrived at the hospital, the nail had been swallowed for more than 5 hours...
The child swallowed a 5 cm steel nail...
On September 15, 18:20, most families were still immersed in the Mid-Autumn Festival atmosphere, and the emergency department of Qilu Hospital (Qingdao) of Shandong University received a child transferred from an outside hospital who needed emergency pediatric surgery consultation and considered a foreign body in the digestive tract.
Dr. Liu Chao, who was on duty at the pediatric surgery department that night, although he had seen countless foreign bodies in the digestive tract of children, the child's situation still made his heart tighten. The child took an X-ray at the local hospital, which showed that the child had a steel nail in his stomach, and it has been more than 5 hours since the child swallowed the steel nail.
One end of the nail is very sharp and there is a risk of piercing the digestive tract or even the large blood vessels in the abdominal cavity at any time. In less than 5 minutes, Dr. Liu Chao quickly explained the seriousness and risk of the child's condition to the family.
Is gastroscopic or laparoscopic? Dr. Liu Chao took the child who had just completed the hospitalization procedures to do x-rays and CT, fortunately, the steel nails were still in the child's stomach, and the stomach wall was not perforated.
I can't find a nail in my stomach...
Director Zhang Lei, who received the notice, also rushed to the hospital quickly, because the steel nails had the risk of entering the duodenum and piercing the digestive tract and blood vessels at any time, Director Zhang Lei decided to immediately notify the operating room and the anesthesia department for gastroscopy.
At 19:40, the child was pushed into the operating room, but the scene under the gastroscope surprised the doctors, obviously the CT showed that the steel nail was in the stomach, but the stomach under the gastroscope was empty.
The doctors continued their search downwards, and finally found the jammed steel nail at the junction of the duodenal bulb and the descending part. The tip of the steel nail has pierced into the mucous membrane of the duodenal bulb, which is followed by important large blood vessels, and once the steel nail pierces the intestinal wall and blood vessels, the consequences are unimaginable.
To put it more in layman's terms, after a while, the nail will pierce the intestines, and then the parents of the child will really regret the intestines.
However, fortunately, the Department of Pediatric Surgery of Qilu Hospital (Qingdao) of Shandong University has advanced pantax pediatric gastrointestinal endoscopy equipment, which can independently complete complex operations such as gastrointestinal foreign body removal, intestinal polyp examination and removal, and even peom surgery for cardia delay.
With this device, after 20 minutes, the nails were successfully removed, avoiding open surgery. The next day's re-examination, there is no perforation of the intestinal wall, the child began to eat, and now has been successfully discharged from the hospital, it can also be regarded as a surprise.
The nails that were removed were nearly 5 centimeters long.
What have the bear kids swallowed all these years...
The bear children had something at hand, they all wanted to put it in their mouths to taste it, taste it, and accidentally tasted it into their stomachs.
Pits, buttons, coins, pins, cards, batteries, etc., are all common.
Rings, stud earrings, dry batteries, embroidery needles, magnetic beads, small wooden sticks, zippers, screws... These are relatively rare, and they are also found in the children with foreign bodies in the digestive tract treated by Qilu Hospital of Shandong University (Qingdao) in recent years.
Come, see is believing.
The doctor put it this way:
For foreign bodies that are small, non-toxic, and do not have the risk of puncture of the digestive tract, if they have nuclei, buttons, coins, toy accessories, etc., they can be excreted through defecation by eating crude fiber foods and laxatives.
For toxic risks, sharp objects. Batteries, needles, screws, etc., as well as foreign bodies that cause digestive obstruction or prolonged inability to excrete through defecation without the risk of toxicity, need to be removed by surgery such as gastrointestinal endoscopy or laparoscopy.