A woman in Foshan was stabbed in the small intestine while drinking soup and could not sleep. Doctor: She is very lucky.

A woman in Foshan has unbearable pain when she sleeps. Unexpectedly, a big fishbone over 4cm pierced the small intestine!

Rola Chen introduced that at 4 o'clock in the morning on June 65438+1October 12, a burst of abdominal pain woke her up from her dream. She thought she just ate her stomach and didn't care too much, thinking about forbearance. "I thought it was all right, but the pain has not been alleviated, but it has become more and more obvious." Rola Chen, who had a terrible pain, thought it was gastroenteritis, and then took some anti-inflammatory drugs, but to no avail, she changed from a faint stomachache to a full stomachache.

On the same day, accompanied by his family, Rola Chen came to the emergency department of the Ninth People's Hospital in Nanhai District. After careful physical examination by the emergency doctor, she thought that Rola Chen had a greater possibility of gastrointestinal perforation, and suggested making relevant examinations to help diagnose it.

The attending doctor immediately opened a CT examination of the urinary system for Chen Yi, and finally found the real murderer with the assistance of radiology. The results showed that there was high density shadow in abdominal cavity, and intestinal perforation was caused by foreign body.

"I haven't eaten anything hard recently and I haven't been injured." In the face of the doctor's question, Rola Chen said that he had eaten stewed fish soup with melon the day before, and there was no obvious discomfort. I didn't expect abdominal discomfort in the early morning of the next day.

Experienced emergency doctors immediately realized that the cause might be fishbone. CT photos show that there is obvious peritonitis in Rola Chen's tabular abdomen, which may be dangerous without surgery. Moreover, at that time, the fishbone had completely penetrated into the small intestine, and if it was not taken out in time, it would continue to swim with intestinal peristalsis. Finally, the pus left in the abdominal cavity may even puncture other organs and blood vessels.

Under the arrangement of the doctor in charge of the hospital, Rola Chen quickly underwent an operation to remove the foreign body that pierced the small intestine in Rola Chen's abdomen. Unexpectedly, the fishbone was more than 4 cm long.

At present, Rola Chen has recovered well after operation and is recovering in the hospital.

The doctor said, "To some extent, Rola Chen is also lucky. Such a thick and sharp fishbone actually passed through the narrow places such as esophagus, pylorus and duodenum. If these parts are punctured, the problem is not so simple. May cause peripheral abscess, peritonitis, thoracoabdominal aorta puncture, etc. Until it is life-threatening. "

I met a fishbone and got stuck in my throat.

Some people's solution is to swallow food,

Trying to swallow it,

Then "digest" it.

Or try to drink vinegar in a folk way to soften it;

Or maybe you didn't take it seriously.

But the truth is:

Drinking vinegar can't soften the fishbone,

It will also stimulate the stomach;

Swallowing rice makes the fishbone sink deeper and deeper.

It is easy to plunge into trachea, esophagus, vein, artery and other parts.

Therefore, "swallowing" is the most unacceptable action!

Do I have to go to the hospital if I get stuck in a fishbone?

It depends.

Doctor's advice: Swallowing is the most important thing! Vomiting is the correct solution.

The trick of He Zhongjie, an emergency expert in the First Affiliated Hospital of PLA General Hospital, is to cough hard when he finds it stuck. If not, dig your throat with your fingers, causing nausea and vomiting, and wash the fishbone out by vomiting. You can also wrap the index finger with gauze and thin cotton cloth, wipe the upper jaw and take out the fishbone.

But notice that there is a premise here that you must swallow a small soft fishbone. And this method only works if the fishbone is in the throat!

If you can see the fishbone,

Take it out carefully with tweezers.

If you can't handle it yourself,

Hang the hospital emergency as soon as possible.

August 9, 2020 According to media reports, Mr. Chen, a 45-year-old from Guangzhou, failed to seek medical treatment in time because a fishbone got stuck in his throat. Three days later, he suddenly began to vomit blood and died after being sent to the hospital.

The doctor reminded: It is not a trivial matter to seek medical treatment in time. Don't use local methods such as drinking vinegar and swallowing rice.

According to family memories, on the evening of July 30, 2020, Mr. Chen, a citizen of Guangzhou, came home from work. He was so thirsty that he drank the fish head soup cooked by his wife in a few bites, but as soon as he drank it, he felt a sharp pain in his throat. Thinking that he might be stuck by a fishbone, he quickly took a few bites of rice and drank vinegar, but the pain didn't improve at all. His wife urged him to go to the hospital, but he didn't go to the hospital because he was worried about the risk of seeking medical treatment during the epidemic.

After three days' delay, the pain has not been relieved. During this period, his wife repeatedly urged him to go to the hospital.

On the evening of August 2, 2020, Mr. Chen suddenly began to vomit blood once an hour. Every time he vomits, it is a big bowl. At 2 o'clock in the morning, he rushed to the First Affiliated Hospital of Guangzhou University of Chinese Medicine for rescue.

Professor Wang Jiyong, director of the Department of Cardiothoracic Surgery, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, said that after examination, the doctor found that a fishbone nearly 4 cm long was stuck in the upper part of Mr. Chen's esophagus and had pierced the esophagus and thoracic aorta, which was the reason for Mr. Chen's vomiting blood. Mr. Chen looks pale because of a lot of blood loss. The hemoglobin in blood test is only 5g, which is less than half of normal male13g. His blood pressure dropped to 60/40 and he went into hemorrhagic shock.

Wang Jiyong introduced that Mr. Chen was still vomiting blood after he arrived at the hospital, and the doctor forgot to give him a nucleic acid test, so he immediately intubated him for artificial respiration and gave him a lot of blood transfusion. However, after all the efforts of doctors, Mr. Chen's life is still not saved. He died on the evening of August 3, and his life was fixed at the age of 45, leaving two underage children.

Wang Jiyong reminds you not to talk when eating fish, especially when eating fish heads. Pay attention to eating lamb chops, chickens and ducks. Every year, there are painful cases of fish bones, chicken bones, duck bones and sheep bones stuck in the esophagus, leading to aortic rupture and bleeding. Don't try drinking vinegar or swallowing rice after sticking a fishbone. Be sure to come to the hospital for medical treatment in time.

Some people drink vinegar desperately after being stuck by fishbone, thinking that vinegar can dissolve fishbone made of calcium, so as to achieve the purpose of softening fishbone, and the softened fishbone will fall off from the tissue. Some people always think that they can swallow the fishbone by swallowing rice, stuffing steamed bread and swallowing constantly. In fact, these are all incorrect treatment methods.

If you encounter a fishbone stuck in your throat, you need to know the following:

First, stop eating.

First of all, stop eating or even drinking water immediately, relax your throat, minimize swallowing and relieve your mood. Because of emotional tension, it is easy to cause the muscles in the throat to contract, and the foreign body will get stuck tighter.

If it is a child, first comfort him not to cry, so as not to suck the fishbone into the throat cavity or esophagus.

Then, you can bend your head and try to cough hard, and tiny fishbones will rush out with the airflow. Or stimulate the throat to induce nausea and vomiting, and promote the fishbone to loosen and spit out.

It is best to remove the fishbone by your own efforts. But if it doesn't work, you have to use tools.

Second, use tools.

You can gently press your tongue with chopsticks, spoon handles, tongue depressors, etc. Expose the base of the tongue and observe the size and position of the foreign body by light. If you find that the fishbone is not big and the position is not deep, you can gently remove it with tweezers.

Third, seek the help of a doctor.

Seeking the doctor's help is the most correct way! If no fishbone is found, it means that the fishbone is deep and difficult to pull out. Or, I saw fishbone, but it was thick and tied tightly. In these cases, don't pull it out indiscriminately, so as not to cause new trauma.

Be sure to go to the hospital to ask a professional doctor for treatment, which is also the most appropriate treatment for foreign body stab wounds. Seek the help of a doctor, use professional instruments, and take out the fishbone as soon as possible in a sterile and antibacterial environment.

If the oropharynx does not need anesthetic, it can be directly clipped out with tweezers. If the position is deep and you can't see it directly, you can spray local anesthetic and take it out with laryngoscope or fibrolaryngoscope. If you still can't see it, it is likely that the fishbone has entered the esophagus. At this time, an esophagoscopy may be needed.

If the fishbone is stuck in the throat for too long and the throat and esophagus have become inflamed and festered, take out the fishbone after diminishing inflammation and swelling.

Tips:

The most important thing to prevent fishbone from getting stuck in your throat is to concentrate on eating fish. Because the fishbone stuck in the throat mostly happens when eating, watching TV and chatting. So when eating, talk as little as possible, be less distracted, and spit out every fishbone carefully.