Editor's note: Many infants under the age of 3 like to put things in their mouths to explore and learn. Common dangerous goods swallowed by mistake include staples, copper plates, magnets, buttons, screws, pins, etc. A few days ago, a boy aged/kloc-0 in Miaoli had a severe cough for five days. After emergency examination, I found that there were staples in my abdomen, which almost caused intestinal perforation!
The boy coughed for five days, but he still didn't get better after taking medicine in the clinic. So he went to the hospital for emergency treatment. According to the chest X-ray, he found an image of the upper abdomen, which looked like a staple. After blood test, it was diagnosed as "fungal infection complicated with eating foreign bodies by mistake" and no operation was needed. After taking gastrointestinal medicine, the boy successfully discharged the staple food.
Because the two ends of the staple are sharp, be careful that there may be the risk of intestinal wall damage and perforation. Fortunately, the boy did not have symptoms such as gastric sclerosis and pain while waiting for the staples to be discharged, and he recovered smoothly and was discharged from hospital. Li Haoyuan, director of pediatrics at Weiguang Hospital, pointed out that sharp objects or corrosive objects, such as acid, alkali and button cell, can cause digestive tract burns. If the child accidentally swallows it, he should see a doctor as soon as possible and arrange an endoscope to take out the foreign body so as not to cause more harm.
If you swallow the bucky ball by mistake, it may be fatal. It is forbidden to sell to children under 14.
Bucky balls are known as the most fun magnetic educational toys, and many parents will buy them for their children! However, a few days ago, pediatrician Qi Xiaojun appealed to parents not to buy buckyball toys for their children through Facebook powder, because there have been many incidents of intestinal necrosis caused by swallowing buckyball by mistake at home and abroad. In severe cases, it is necessary to remove part of the intestine, which may even lead to life-threatening.
Why do seemingly harmless bucky balls (magnetic balls) cause so much damage? The doctor explained that if the child just swallowed a buckyball by mistake, nothing might happen, because the buckyball itself is smooth and can be discharged with feces; However, if a child accidentally swallows more than two buckyballs, the two buckyballs may separate and re-adhere in the intestine, so it is very likely that one of the intestinal walls will be caught during the re-adhesion.
Originally, the intestinal wall was rich in blood flow, but now a section of the intestinal wall has blocked some blood flow, and the suction of the buckyball is very strong. If there is no way to untie it, the intestine will only slowly move towards ischemic necrosis, which will lead to metabolic acidosis and septicemia with high probability and endanger life.
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Before, a boy of 10 swallowed seven buckyballs by mistake. It took three days to tell his parents that six buckyballs had moved to the large intestine, and 1 got stuck in the small intestine, resulting in two intestines being tightly sucked and intestinal ischemia perforation. Fortunately, emergency surgery was arranged to remove and repair the intestinal hole, otherwise it would lead to peritonitis and septicemia and death.
Dr. Qi Xiaojun said that this is why many countries have banned the sale of toys by buckyballs. Since June 65438+1 October1last year, Taiwan Province Province has listed buckyballs as toys for inspection and cannot sell them to children under 14. However, many manufacturers selling this kind of toy can still be seen on the Internet, so the doctor specially sent a message to remind parents not to buy buckyball as a toy for their children!
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If children at home want to play with small toys such as buckyballs and crystal babies, parents should accompany them. Usually they should also pay attention to put away batteries, buttons, coins and so on. To prevent oral babies from stuffing things into their mouths or swallowing them. So how to prevent eating by mistake? Or what if the child accidentally swallowed something by mistake? Parents must remember the following principles!
Children like to explore the surroundings with their mouths, and sometimes they accidentally eat something; At this time, parents should be calm, don't panic, and don't blame their children, so as not to delay the rescue time and even cause accidents. They should be patient and comforted and deal with symptoms as soon as possible.
Infants and young children who are most likely to eat by mistake are from 6 months to 1.5 years old, which is in the oral stage, followed by 1.5 years old? 4-year-old children should be careful not to eat by mistake, because they are naughty and curious.
Let's explain the difference of handling methods for parents' reference: before handling at home, we must first find out the items, quantity and time of eating by mistake, and carefully check the surrounding items for confirmation. When you are sent to the hospital, you should also inform the emergency doctor of the above matters, and remember to bring the remaining items and their packaging. If there is vomit, take it to the hospital together to help doctors take correct and effective first aid measures.
On the principle of handling when eating by mistake:
No breathing, dysphagia, vomiting at all, that is, swallowing small objects. You can observe 3? Have a bowel movement within 7 days and eat more high-fiber fruits and vegetables. If you still don't excrete, or abdominal pain, vomiting, etc. It is recommended to see a doctor for X-ray or abdominal ultrasound examination.
The method of inducing vomiting can only be used if the foreign body does not block the respiratory tract. If it is blocked, vomiting is not allowed.
If the infants under 1 year-old are not unconscious and the respiratory tract is completely blocked, it is also recommended to pat the back and press the chest for preliminary treatment.
Recommended reading: pediatricians explain Hamlick method, foreign body choking and first aid methods in detail.
/kloc-under 0/year-old clap back chest operation method:
Adults hold the child's body with their arms, chin with their fingers, face down, head lower than the chest and leaning on the adult's thigh, and the other hand slaps on the midpoint of the two shoulder blades for five consecutive times. Then turn back to the front, and press it with two fingers below the midpoint of two * * * connecting lines for five consecutive times, each time reaching 1? 2 centimeters. If the foreign body is still not spit out, repeat the action of slapping the back and squeezing the upper abdomen until something is spit out.
/kloc-infants over 0/year old can use the standard hamlick first aid method.
Hamlik first aid operation method:
If the child can stand, adults will hug him from behind, with one hand clenched at the midpoint between the navel and the heart socket, the other hand clenched around the fist, and both hands squeezed upward and inward for 5 times; If the child can't stand, lie on his back. The adult straddles the child's legs, puts his palms on top of each other, clasps his five fingers with one hand, and quickly pushes down and forward five times at the midpoint between the navel and the heart socket until the foreign body spits out.
If the foreign body cannot be discharged, and the child can still make sounds and breathe, it means that it is only partially blocked. It should be removed immediately through endoscope, bronchoscope or laryngoscope. In addition, special attention should be paid not to use emetic substances, including volatile liquids such as gasoline, pesticides such as pesticides, strong acid and alkali substances such as bleach, and sharp objects such as nails.
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Preventing babies from eating by mistake is the most important thing;
First of all, we should pay attention to the proper custody of items, which may lead to eating by mistake. Articles should be locked in cabinets or stored in high places. /kloc-coins, buttons and other small things below 0 yuan should not be given to children. Make sure that the container containing nuts and beans is tight. Don't give the baby inappropriate food, such as frozen, peanuts and so on.
Secondly, we should have good eating habits: don't let children run while eating. Don't talk while eating. Be sure to supervise the nearby diet to prevent children from eating inappropriate items. Don't take medicine in front of the children, lest you eat it by mistake.
Finally, parents should regularly check the items at home to ensure that the parts are large enough, the links are not loose, and buttons, belts or other decorations are really fixed to avoid choking their mouths or throats. The ground should also be clean and tidy, and small items such as coins and buttons should not fall off. Taking preventive measures at home is the best guarantee to ensure the safety and health of children.
Aibobeiqin subnet authorized to reprint the original source. The child grabbed something and stuffed it in his mouth! On the crisis of eating by mistake