The situation was urgent. Director of Pediatrics Lei Dongfang of Yueyang Traditional Chinese Medicine Hospital immediately decided to perform bronchoscopy and foreign body removal immediately.
Under the organization of Director Lei Dongfang, the medical team of the Department of Anesthesiology and Pediatric Fiberoptic Bronchoscopy Room immediately formulated a surgical plan. With full protection against COVID-19 infection, Chief Physician Hong Bo, Director of the Department of Anesthesiology, led the team of anesthesiologists to perform general anesthesia with a laryngeal mask and provide safety monitoring. Pediatrician Dr. Zhao Qilin operated the fiberoptic bronchoscope, and Supervisor Nurse Gao Jia cooperated. With the cooperation of multiple disciplines, the operation went smoothly.
During the operation, it was found that the opening of the child's left main bronchus was blocked by a foreign body, and the surrounding area was congested and edematous. Dr. Zhao Qilin skillfully used a lithotomy basket to successfully remove a foreign body in the child's trachea - a melon seed kernel. The patient returned to the ward after the operation and his vital signs were stable.
Zhao Qilin, the attending physician of the Department of Pediatrics at Yueyang Hospital of Traditional Chinese Medicine, said that since the use of fiberoptic bronchoscopy in the Department of Pediatrics at Yueyang Hospital of Traditional Chinese Medicine, many cases of foreign body removal have been performed, but this is the first case of foreign body removal on a 1-year-old baby. Children, especially those under 3 years old, are very unlikely to cough up airway foreign bodies on their own, so only pediatric fiberoptic bronchoscopy can be used to remove foreign bodies. In severe cases, open surgery is required.
"Having been working in pediatrics for nearly 20 years, foreign bodies in children's trachea are the most worrying thing." Lei Dongfang, Director of Pediatrics at Yueyang Traditional Chinese Medicine Hospital said with emotion. Clinically, there are various types of foreign bodies in the trachea of children, including beans, fruit pieces, melon seeds, peanuts, small objects on toys, buttons, jelly, etc. Among them, soft foreign bodies such as jelly are the most harmful because they may completely block the airway and lead to death from suffocation. The trachea is the only channel for breathing. Once a foreign object accidentally enters and blocks the trachea, the patient may suffer from difficulty breathing and lack of oxygen, or in severe cases, complete suffocation.
Director of Pediatrics Lei Dongfang of Yueyang Hospital of Traditional Chinese Medicine specially reminded: children's chewing and swallowing functions are not perfect, and they are also innately curious about new things and like to put small objects into their mouths. In addition, they are prone to crying and fussing, and foreign objects in the mouth and nose are particularly easy to aspirate or fall into the airway. Parents must pay enough attention and vigilance, learn more relevant knowledge at ordinary times, and strengthen the care of their children.
Little Momo It is because parents do not know the knowledge about infant care and feeding melon seeds has heartbreaking consequences. When a child accidentally puts a foreign object into his mouth, parents should not forcefully pull it out with their hands. This will cause the child to cry and the foreign object will easily fall into the airway. For foreign bodies in the nasal cavity, it is recommended to go to the hospital immediately for treatment.
If the foreign body has entered the airway, parents should not panic. Never force the child to pat his back or eat or induce vomiting, as this may aggravate the condition. Make the child lie down, pay close attention to the child's breathing, and send him to the hospital for treatment immediately.
(edited by ZS. Some pictures are from the Internet and have been deleted)
Hunan Medical Chat special author: Yueyang Traditional Chinese Medicine Hospital Hualin
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