What should I do if the fishbone stuck throat?"Three Jets and Three Proposals", please accept it

Author:China Food Industry Magazine Time:2022.07.10

The fireworks of life are indispensable. Along with delicious fish, a embarrassing emergency appeared: fishbone stuck throat.

"Almost every day, someone came to the emergency department to take fishbone." The reporter interviewed major hospitals in Pudong. Emergency doctors said: In June, the fishbone card throat increased, and the patients needed to have 24 hours of nucleic acid negative reports; The nucleic acid negative report, doctors also need to wear face screens and N95 masks to find fish thorns.

"That's the scene of a large -scale community!" Ms. Li, who has just experienced the fishbone stuck throat, depicts her thorns in the emergency department of her public interest hospital: the doctor wrapped her tongue with gauze and dragged her tongue to use indirect laryngeal mirror mirror Find fish thorns in your throat. "I am more sensitive. As soon as the laryngeal mirror touches my throat, I can't help vomiting. It is called a wolf, vomiting all over the body! However, after the big vomiting, the foreign body feels much better, and it is not like a doctor to deal with it. It hurts so much before. "

On the same day, Miss Li was Yang Liyun, an otolaryngologist at Gongli Hospital. She said: "Treatment of fishbone card throat, patients should open their mouths; most patients vomit vomiting and produce a large amount of gas -soluble gum. Therefore, there must be a 24 -hour kernel acid report; the second is that the doctor needs the" first -level plus' protection, which is the doctor, which is the doctor. Wearing blue clothes, face screens and N95 masks. "Because of the face screen, the doctor's sight was obviously blocked, and the difficulty of finding fish thorns was greatly increased.

Of course, in the dangerous fishbone card throat, emergency doctors will not force 24 -hour kernel acid reports. In this case, doctors need second -level protection and increase in big white. Huang Narcissus, director of the Department of ENT, said: "Doctors have so many protection and plus the time, the time must be extended. Seeing the patient is uncomfortable, the doctor is uncomfortable."

Many people think that the fishbone card throat is a trivial matter, and it can be handled by a community health service center. In fact, the community health service center does not have the ability to handle the fishbone card throat. Even if you go to the second and third -level hospitals, you must have a professional otolaryngologist to deal with it. When you encounter "eight hours", hospitals with urgent otolaryngology clinics can be treated to deal with.

According to Director Huang Narcissus, in general, the throat throat throat is in a relatively shallow position. At this time, when you go to the hospital, the doctor can find the fishbone with indirect laryngeal mirror to find the fishbone and put out the fish thorns. If you drag for a long time, or use the "soil method" such as swallowing rice balls, the fishbone is stuck in the depths, and you need to use electronic laryngoscope, even CT, gastroscopy; more troublesome, once the fish thorns are penetrated into the deep chest cavity, At the same time, even chest -opening.

Real case sharing

In November 2019, in Wuhan, Hubei, Lao Lin, who was in his 50s, accidentally swallowed a fishbone and stuck in his throat. He swallowed two meals to "go" with the fishbone. Who knew that two days later, he suddenly had severe chest pain. In the local examination, he found that the fishbone pierced the esophagus wall and pierced the chest aorta. The thoracic aorta is the largest arterial blood vessels in the human body, and the blood vessels are very high. Once a break is formed, it will cause major bleeding, which will directly endanger life, and even have no chance to rescue.

This fishbone is a timing bomb in the old forest body. Once the "explosion" is a big bleeding, it is difficult to rescue. In order to deal with this fishbone, several major directors of the People's Hospital affiliated to Wuhan University have almost all attended the scene, thoracic surgery, cardiovascular surgery, otolaryngology-head and neck surgery, digestive medicine, radiology, anesthesia, etc. The doctor gathered urgently, and the endoscope was not found in the endoscopy. In the end, he opened a chest to find a small spike in the aorta. After wearing the esophagus, almost all were tied into the aorta.

Dr. Yellow Aquatic Fairy Reminder

In fact, the natural stuck fishbone is generally not too deep. If you go to the hospital as soon as possible, doctors in the Department of ENT can quickly get it.

If the "soil method" is used, it may be used to exacerbate the disease such as swallowing, and you need to use laryngeal mirrors, digestive endoscopy, and even breasts. Not only will it cost and laborious, but people also suffer.

In fact, the stuck foreign object is good. When eating fish, chew slowly, do not speak, the elderly and children should pay special attention. The chicken bones and dates are the most "scared" doctors. These foreign bodies basically use various endoscopes to deal with. Once a foreign body card throat occurs, do not have a chance, remember to seek medical treatment in time.

What should I do if the fishbone stuck throat?

There are three suggestions and three suggestions here. Please accept it.

* Three taboos:

1. Taboo immediately swallow rice and swallow buns;

2. Drinking vinegar is not good and uncomfortable;

3. When you can't see the fishbone, you can use the tools to reach into the throat and take it blindly. Not only will you not take out the fishbone, but even cause throat damage and edema.

* Three suggestions:

1. Open your mouth, use the spoon handle to press the front end of the tongue, and watch the oral cavity whether there is a fishbone.

2. Vomiting: stimulate the root of the tongue by hand or chopsticks and spoons, and vomit the stomach content when the stomach content is vomited;

3. Strong cough: The strong airflow of cough can also bring out the fishbone.

There are hospitals with otolaryngology emergency hospitals in Pudong

Renji Hospital East Hospital

Shuguang Hospital East Hospital

Shanghai Sixth People's Hospital Lingang Hospital District

Oriental Hospital Headquarters

Shanghai Seventh People's Hospital

Shanghai Gongli Hospital

Shanghai Pudong Hospital

Pudong New District People's Hospital

Shanghai Zhoupu Hospital

Source: Pudong released

【Source: News Morning News】

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