The old man couldn't find his teeth, and he never expected that "growing" into the lungs!

An old man in Changzhou, Jiangsu is old and has lost his teeth. There are 4 teeth left in his mouth in the first half of this year, and one left in a blink of an eye! Family members found 2, and one of them could not be found. Where did the teeth go? Recently, I have cough frequently. I only know that I have "fell into" my lungs when I go to the doctor!

The old man coughs more seriously

If there is phlegm cough, you can't get hot

Home care and peace rehabilitation are the topic we often discuss, and it is also an important aspect of people's livelihood. When taking care of the elderly and recovering, in addition to asking cold, eating and drinking every day, we must also be careful of the trouble of "eating and pouring in".

Mrs. Xu (pseudonym), who lives in Changzhou, found that eating is not the same as before. It is not convenient to chew, but it is not convenient to say. Therefore, the family did not take it seriously, and even felt that the old lady may be older and chewed. Until 2 weeks ago, Mrs. Xu cough repeatedly after eating and coughing. It felt like phlegm cough could not be cough, and she started to have a fever. Only caught the attention of family members!

Over time, the elderly have gradually increased. After going to the local hospital's infusion treatment, I did not improve after treatment. The film showed that the right lung had pneumonia. The doctor had a tracheal mirror inspection for the adventure of Mrs. Xu, and found that there were granulation and a foreign body with a tilted teeth in the proximity of the right intermediate bronchial tube. There is something like teeth, and the granulation tissue bleeds.

However, because the old lady Xu had irritability, shortness of breath, and decreased pulse oxygen during the anesthesia mirror of the bureau, the doctor repeatedly tried to get foreign objects and did not succeed, and finally gave up the operation. Under the suggestion of the local doctor, the patient referred to the breathing intervention center of Changzhou Second Hospital.

It turns out that the teeth fell into the lungs

The elderly suffer from severe obstructive pneumonia

After admission, the doctor in the second hospital carefully asked the patient's inspiration to be uncomfortable. Finally, confirming that the discomfort in the lungs is likely to be the most possible for "disappearing teeth".

Family members reported that Lao Lao's teeth were not good and had a lot of teeth. In the first half of this year, only 4 teeth of the last 4 tooth were silently dropped. When the one was dropped and where the drop was dropped.

Although the "naughty" foreign body may be the teeth, it is the culprit that caused the cough and fever of the old lady Xu, but because the teeth that are unwilling to come out have blocked the bronchies, Mrs. Xu's body is getting worse and the condition is getting worse and the condition. It has developed to severe obstructive pneumonia and lungs, which makes the family anxious.

As a clinical specialty of respiratory disease intervention diagnosis and treatment and painless tracheoscopy technology inside and outside the province, Changzhou Second Hospital of the Second Hospital of Changzhou has a very rich clinical experience in the comprehensive treatment of airway diseases. After fully understanding the situation of Mrs. Xu, the respiratory department attaches great importance to it, and immediately organized a multi -disciplinary consultation to formulate a detailed plan.

After sufficient preparation, Yu Xiaowei, Honorary Director of the Respiratory Department of the Second Hospital of Changzhou, and Yang Mingxia, deputy director, led the team to use painless tracheoscope technology to perform surgery for Mrs. Xu.

Tram and bronchial foreign bodies are common diseases of dangerous

An elderly person at home must attract attention

Under the tracheal mirror, doctors can see a large amount of yellow -white purulent secretions in the right middle support of the respiratory tract, and granulation grows everywhere. With the help of an attractor, the teeth hiding behind the secretion gradually showed their true colors. Yang Mingxia slowly pinched his teeth and carefully moved with a crocodile pliers through the bronchial mirror. However, because of the tightness with the bronchus, the local mucosa bleeding, the teeth slipped from the pliers many times. At this time, in order to successfully capture, Yang Mingxia and anesthesiologist cooperated tacitly to control the interference of foreign matter by controlling the anesthesia machine to breathe silently, and creatively used the balloon positive pressure to expand the bronchus, expand the bronchial space to make the foreign body and bronchial pipeline and the bronchial pipeline. The gap between the cavity increases; a fast -eyed hand is fast, fully grasped the limited timing, and successfully removed the teeth. After rinse, doctors found that this was a damaged, sawing mouth -like molars, with a length of 3.5cm.

Although the foreign body has been removed, the operation is not over. Old Mrs. Xu's right lung and lower right lobe lumen mucosa granulation is filled with a large amount of yellow and white purulent secretions. During the surgery, Ice physiological saline was used to irrigate the alveoli. Grass bud tissue in the lumen and hemostasis treatment. Finally, with the efforts of the team, the right lumen of Lao Xu returned to unobstructed, and no serious bleeding occurred. Enron returned to the ward safely. In the future, he will continue to fight infection and regularly review the tracheal mirror to clean the airway granulation.

Yang Mingxia said that the dangerous diseases and common diseases of trachea and bronchies are dangerous. The bronchial foreign objects encountered in the respiratory work are strange and strange, including chain, pipe, pipa core, shrimp head, duck neck, and so on. When a foreign body blocks the central airway, it can endanger life. The biggest risk of foreign matter is to cause bleeding or fistula in the sharp parts of the foreign body during the removal of the sharp parts of the foreign body. Therefore, the method and cooperation when taking out are very important. But once it is safely removed, patients usually have a good prognosis.

Yang Mingxia reminded that the elderly have poor response, and some abnormalities may not be feeded in time. as a result of. Anomalial situation such as abnormal cough should be followed. At the same time, avoiding foreign bodies to avoid adverse consequences during meals. When encountering this situation, it should be paid attention to and seek medical treatment in time.

Correspondent Liu Yeyun Gao Ruichen

Yangtze Evening News/Zi Niu Journalist Zhang Bin

Edit: Qin Xiaoyi

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