The day before yesterday at noon, a friend of mine dinner, was stuck in the fishbone, he was very nervous, immediately ran to the hospital, all the way to the hospital, but also worried about the death, holding a cell phone, has been looking at the consequences of being stuck by the fishbone.
Well, after arriving at the hospital, the doctor immediately helped him to clip the fishbone out.
Accidentally stuck in the throat to the fishbone, bone, pain to tears, saliva flow, how to deal with the right?
Dr. Lee, who works in the surgical department, accidentally swallowed a chicken cartilage while eating a chicken drumstick in order to rush to the operating table, and was unable to cough up the bone, which caused him pain when he swallowed.
Busy modern people often forget to chew and swallow slowly, and accidentally get stuck in the fish, bone, sometimes for a fish splinter from the clinic to the hospital, if the fish splinter stuck in the deep, but also have to endure a few hours of pain, pulling the tongue, so that the doctor will be stabbed in the throat to take out the fish splinter.
There are all kinds of ways to deal with a fish sticking out of your throat on the Internet, but how do you do it correctly and without causing second-degree damage to your throat?
When the pharynx or esophagus is blocked by a foreign body, common mistakes include swallowing rice, drinking vinegar, digging with your hands, and urging people to vomit, all of which are very dangerous. Swallowing will make the foreign body, which is only in the superficial tissues, deeper and deeper, making it more difficult to detect and remove.
Some people think that drinking vinegar can soften the fishbone, which is actually nonsense. Vinegar passes through the esophagus for only a few seconds, making it impossible to soften a fishbone, and if it could, the esophagus would have been burned.
Digging with your hands can cause other wounds in the throat, and is not conducive to finding the point of pain where the foreign object first entered. Vomiting is more likely to draw vomit up into the windpipe, causing aspiration pneumonia, which is quite dangerous.
Many important blood vessels and nerves are located in the neck, if a foreign body pierces the esophagus and causes a rupture, it may cause a deep neck infection, at this time, the bacterial pus not only presses on the trachea, resulting in respiratory difficulties, but also may lead to sepsis or shock, the youngest child, the elderly, or those with poor resistance, as long as one week the condition may deteriorate rapidly, and need to be quite careful.
Beyond the esophagus, clinic clamping
Below the esophagus, surgical treatment
Once a foreign body is accidentally ingested, you should stop eating immediately. Next, cough gently to see if you can cough the foreign body out, or if you still have a foreign body sensation, go to the nearest ear, nose, and throat specialist clinic for a checkup. Generally, foreign objects above the esophagus can be removed by the clinician, but if they have already entered the esophagus, then you need to go to the hospital to see the location and shape of the foreign object and decide whether to remove it by esophagoscopy or gastroscopy.
When you go to the hospital, it's a good idea to explain what you've eaten, how long it's been there, and where the pain is, so that you can help the doctor examine and diagnose the problem.
Sometimes a neck X-ray is needed to confirm the diagnosis. However, not all foreign objects can be detected on an X-ray. X-rays do not detect low-density material, such as peanuts, plant seeds, or plastic products. If the foreign body is located in the overlap between the X-ray and bone images, it may not be detected. Doctors recommend 72 hours of observation, and if the pain becomes more severe, invasive examination and treatment with a gastroscope or esophagoscopy may be necessary.
If the foreign body is already lodged in the esophagus, it can only be removed by esophagoscopy or gastroscopy, depending on the location and shape of the lodged foreign body and the patient's choice.
The esophagoscope is made of hard metal and must be performed under general anesthesia in the operating room; the gastroscope is made of soft fiberglass and can be performed under local anesthesia in the examination room, but the gastroscopy is a strong sense of foreign body, which may result in a gag reflex and a feeling of vomiting. For children, however, both exams require general anesthesia to be performed.
If the foreign body is in the upper third of the throat and esophageal inlet, it is a dead zone for gastroscopy and must be removed by esophagoscopy. In addition, if the foreign body is barbed or irregularly shaped, it cannot be removed with a one-way gastroscope and can only be removed with an esophagoscope.
The oropharynx is narrower in young children
Foreign objects tend to get stuck in the tonsils
"Children's tonsils are larger in proportion to their mouths, and their oropharynx is smaller, so foreign objects usually get stuck in the tonsils," Wang said. In addition, children are afraid of being blamed or do not want to seek medical attention, some will endure the pain not to say, parents need to pay attention to if the children eat food containing bones, drooling, stiff neck, do not speak or no longer eat, we must pay attention to whether there is a foreign body infarction.
To avoid foreign body obstruction, both adults and children should pay attention to eating, chewing and swallowing slowly so that accidents don't happen suddenly when they are not paying attention.
How to avoid foreign body ingestion in children?
Children between the ages of 2 and preschool are in the oral cavity stage, and they often encounter objects and send them to their mouths, which can cause intestinal or tracheal obstruction if they are not careful.
Clinically, it is common for children to accidentally eat peanuts, coins, buttons and toy parts, etc. If they fall into the intestinal tract, there is no immediate danger, and once the airway is obstructed, parents can first let the children lie flat on their thighs and pat their backs to try to pat out the foreign objects.
Don't use the adult Hamrick first aid in infants, not to mention the baby feet grabbed up upside down, from the back of the force to beat, once the implementation of improper, too much force, make the acid reflux, resulting in aspiration pneumonia, but dangerous. 1 year old infants Hamrick first aid is to use the back of the chest patting, first clear the mouth of the foreign body, and then the palm of the hand to support the baby's head to the head down to tilt the feet up Then hold the infant's head in the palm of your hand, tilt the head down and feet up at 20 degrees, pat the back 5 times, then return to the front and press the upper abdomen with your middle finger 5 times, and repeat until the foreign body is expelled.
Parents with young children at home should put away dangerous objects so that children don't accidentally ingest them.