1-year-old child swallowed coins by mistake
multi-disciplinary combined smart extraction
emergency endoscopy center on September 1st, received a call from the well-span hospital on September 1st When a 1-year-old child accidentally ingested a 5-dime coin, the child frequently nauseated, vomited, and cried frequently. X-rays showed that the coin was located at the entrance of the esophagus and required immediate foreign body removal.
The situation is critical. Director Fan Jianping of the Endoscopy Center immediately opened a green channel for patients undergoing emergency and critical surgery, and worked with the Department of Anesthesiology, Otorhinolaryngology, and Radiology to study and formulate surgical plans. At the same time, the Endoscopy Center Medical Technology The staff actively improved the preoperative preparations and raced against time to save lives.
Considering that the coin may shift and vomit, the baby's body position may change, and the baby may vomit. Difficulty, in order to minimize the risk of anesthesia for the child, Zhang Xiushan, the director of the Anesthesiology Department, decided to give local anesthesia. The endoscopy center and the ENT Department worked together to remove the coin through the gastroscope, and the child was relieved from danger.
Reminder:
family with 1-3 year old baby,Small objects such as coins, buttons, etc. must be properly placed. Do not place them at will. When a child is swallowed by a foreign body, parents must not blindly pat his back, or put his hand in the child's mouth or throat. If the child has obvious suffocation, poor breathing, and purple lips, parents should call Jingxing County Hospital's emergency number 82036120 immediately and come to the hospital for timely treatment!
Because of their strong curiosity about the outside world, young children like to put their toys and all kinds of things around their mouths in their mouths. Therefore, foreign bodies in the digestive tract of children are more common than adults. Therefore, special reminders:
1. Parents and friends should strengthen their children’s safety awareness education; Places easily accessible to children to avoid swallowing by accident;
3. Cultivate children's habit of eating quietly, stop children from watching videos while eating, and pay attention not to scold or scare children when eating , And don’t laugh with your children.
Treatment of common foreign bodies in the digestive tract
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Don't do any treatment for the time being, and wait for the foreign matter to be discharged by itself. If the child has crying, vomiting, apathy, unresponsiveness and other abnormal behaviors during the period, or the foreign body has not been discharged after 48 hours, please seek medical attention immediately, and consider endoscopic foreign body removal or surgical intervention.
2. The foreign bodies that need the assistance of gastrointestinal endoscopy are mainly divided into the following categories:
Span with a longer or sharper span Foreign objects, including toothpicks, needles, date nuclei, hairpins, coins, steel balls, magnetic beads, irregular foreign objects, etc.;
(2) Contains chemical hazardous substances (such as lead, mercury, strong acid, strong alkali, etc.) ) Foreign bodies, such as batteries of various models and shapes;
(3) The foreign body stuck in the esophagus also needs to be taken out immediately under the endoscope.
3. The following conditions should be considered for surgical treatment:
_ 4 Those who fail to remove foreign bodies;
(3) Toxic foreign bodies that dissolve slowly or insoluble, and those who are at risk through the gastrointestinal tract;
(4) Light-transmitting foreign bodies are not discharged for 4~5 days , Those who have abdominal tenderness;
(5) Those who cause obstruction and other complications after general treatment have failed.
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