After swallowing a meal, the uncle was taken to the hospital for a major surgery

On this day, Yao Shu (pseudonym), who was nearly sixty years old, made a plate of sauerkraut fish for dinner. Uncle Yao, who did not like to chew slowly and swallowed a large mouthful of fish, was stuck by the fishbone. The strong Yao Uncle felt that he was older. He had never seen any strong wind and waves. He immediately swallowed a big meal and wanted to rely on this "hard gas" to go down the fish thorn. It did n’t work for swallowing the rice. Uncle Yao began to try to drink vinegar, cough hard, and poured with his hands ... After a series of operations, he not only did not see the fishbone, but instead made the pain in the throat more intense. Unbearable Yao, who was unbearable, came to the emergency department of Shenzhen Sami International Medical Center (Shenzhen Fourth People's Hospital) for help. The emergency doctor quickly performed a CT examination for Uncle Yao and found that the situation was not optimistic: the fishbone was stuck in the upper part of the esophagus, and both ends were deeply pierced into the esophagus.

One end of the fishbone has pierced the esophagus wall! Three Science Room Emergency MDT consultation

"This fishbone is very dangerous!" Li Junhong, director of the Department of Gastroenterology, took over the digestive endoscopy for Uncle Yao, and found that the situation had reached a very tricky level: this fishbone was like a sharp blade, which was particularly sharp at both ends. Moreover, the fishbone was deeply pierced into Uncle Yao's esophagus, and one end had pierced the esophagus wall, and it was about to pass through the longitudinal diaphragm.

In addition, Uncle Yao has been coughing hard and tried to cough out the fishbone. This behavior caused the esophagus to keep shrinking, but the fishbone was deeper and deeper.

"A little deeper in the fishbone, you will piercing the large blood vessels next to the pipe!"

How dangerous is this?

There are three stenosis in human esophagus:

• The first narrow -the esophagus entrance. It can be painful near the esophagus when swallowing, causing difficulty swallowing.

• The second narrow place -about 7 cm after the entrance. This is the most dangerous place, because the thoracic aorta is affixed to the esophagus here.

• The third narrow -esophageal exit, there are fewer problems here.

When the fishbone is in the second stenosis, it is easy to hurt the aorta of the thoracic: chest aorta is the largest arterial blood vessels in the human body. The blood vessels are very high. If the bleeding is formed, the bleeding will be sprayed. Opportunity to rescue.

While at this time, there is still some distance between the fishbone and the main arteries of the chest, Li Junhong must quickly take out the fishbone, otherwise Uncle Yao will be in danger of life.

The situation was urgent. Li Junhong immediately asked the Anesthesiology Department and thoracic surgery to take MDT consultation (multidisciplinary consultation). It should take the fishbone thorns for Uncle Yao at the fastest speed and the most stable way.

Experts have a big role in taking fishbone small ball pockets

In the face of such a critical situation, it is not advisable to pull out the fishbone directly. In case the esophagus continues to shrink during the operation, Yao Shuji may have the perforation of the esophagus and bleed. With many years of experience and professional strength, Li Junhong thought of a "two whole" tips: to expand the esophagus with a balloon to maximize the risk of surgery. Therefore, under the escort of anesthesiologist, Li Junhong put the balloon into the inside of Yao Shu's esophagus. After the esophageal pipe was opened, he carefully took out the fishbone; at the same time emergency.

In the end, Uncle Yao's fishbone was successfully removed under the careful and superb medical skills of Director Li. There was only mild bleeding during the operation, and Uncle Yao himself had also recovered.

When eating fish, be cautious and cautiously do not use these soil methods!

Through this typical case of Uncle Yao, Li Junhong reminded everyone that you need to be cautious when eating fish:

1. Eat a bite of fish, chew slowly, and then eat: Avoid mixing with fish and other foods, otherwise it is difficult to distinguish the fish thorns wrapped in food.

2. When eating fish, concentrate: Try to talk as little as possible during meals. Most of the situation of fishbone stuck throat occurs when eating is urgent, watching TV, and chatting.

3, no thorn fish, the most suitable for children: Parents should also observe first when they eat fish for their children to determine that the children are used for children.

What should I do if I have swallowed the fishbone? The doctor also has the following three suggestions:

The lighter fishbone can try to take it out:

Please take a flashlight with a flashlight. If the fishbone is stuck in a lighter position visible to the naked eye, you can try to clamp it with a mule.

In other cases, hurry up to the hospital:

Do n’t take it hard for the fish thorns. You can quickly go to the hospital to find the Department of Gastroenterology or the Department of Earnivalents (see who eliminates the fish thorns to remove the dental department).

Don't engage in the operation of the earthwork:

Swallowing rice, drinking vinegar, plugging buns ... These methods are not only ineffective, but also fuel and pain on fire.

In fact, the natural stuck fishbone is generally not deep, and the digestives and eurryngine and throat doctors can basically be easily removed.

Source | Jingbao APP

Reporter: Rodin

Correspondent: Wei Weiting

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