According to the gastroenterologist, a small amount of detergent is corrosive, which leads to secondary esophageal stenosis and difficulty in eating after being taken by mistake. Further examination showed that the upper thoracic esophageal lumen of the baby was obviously narrow, the length of the stenosis was about 7.5mm, and the narrowest part was only 1.5 mm.
After the diagnosis was confirmed, Shi Runhai, the chief physician of the Department of Gastroenterology, led the team of the Department of Gastroenterology to do general anesthesia for the baby and completed it? Endoscopic balloon dilatation of esophageal stenosis? .
Under the direct vision of endoscope, a nearly occluded narrow ring can be seen in the upper esophagus, but the ultra-fine gastroscope with a diameter of 5.4mm can't pass through. Moreover, due to scar contracture, the entrance of the narrow segment is too small to be explored, and the metal guide wire can't be inserted after many attempts.
compared with surgery, esophageal balloon dilatation has less trauma and fewer complications. Shi Runhai quickly made a decision to probe the lower stricture with the tail with strong guidewire hardness for many times, and finally the tail of the guidewire passed several centimeters. After many explorations, the metal guidewire finally slowly slipped into the esophagus and stomach along the stricture.
Under the operation of Director Shi Runhai, did the baby eat? Life channel? When reopened, the gastroscope with a diameter of 9.1mm can pass through the dilated esophagus smoothly, and the wound has only a little oozing blood. The baby recovered well after operation and was discharged on the fourth day.
The reporter learned that the Department of Gastroenterology, Quanzhou Children's Hospital receives several cases of mistaken home use every year? Cleaning agent? Children, mostly at the age of 5 and below.
Shi Runhai reminds parents that they should seek medical advice in time if they take it by mistake. Try to bring the articles taken by mistake and the outer packaging to help the doctor make a definite diagnosis as soon as possible.
If you take strong acid or strong alkali by mistake but can't reach the hospital immediately, you can first rescue it on the spot and neutralize the corrosive agent as soon as possible; If you take strong acid, you can take cooking oil, milk, egg white and liquid paraffin immediately to protect the digestive tract mucosa; If you take strong alkali by mistake, you can immediately take lemon juice, orange juice or rice vinegar to neutralize it. Do not blindly induce vomiting or gastric lavage.
if there are young children at home, do not put the detergent in beverage bottles, pure water bottles or glass bottles for sub-packaging, and make a good mark to prevent accidental ingestion. The unused detergent should be sealed and kept out of the reach of children.