The gallinaceous character that a lot of friends saw cough cough feels mysterious after one article, how can the eyewinker enter tracheal bronchus?
We see those foreign bodies that enter tracheal bronchus first, I search a few pictures on the network below:
Plum of small part of bone of hare of plastic whistle, melon seeds, full moon, young toy, ball-pen, word, pushpin, these doctors that are the first hospital of Longyan city from children tracheal in the foreign matter that takes out.
This is objective of the 6th when the courtyard held medical service of Hunan Province children 2014 tracheal eyewinker is exhibited. Choose in the children respiratory tract that the hospital is taken out from 11 years and esophagus eyewinker piece have 173 representative samples to undertake exhibiting. These card are in the eyewinker in childish canal, earthnut, melon seeds, legume reachs the food that take case to occupy 2/3 about, among them pignut occupies 40% above, melon seeds is discharged the 2nd, the 3rd it is legume. Other and special still have screw, bamboo grass of tail of autograph, ferrule, dog, whistle, plastic stick graph, fishhook, hairpin, slide fastener, long-lived lock to wait.
This is bazoo of ear of kapok downtown hospital doctor of emergency call of guttural neck surgery is below bronchoscope of complete hemp be issued to lower levels the tracheal foreign matter that takes out.
9 centimeters of eyewinkers inside body of a when doctor of Beijing children hospital takes out 2 years old of little patients (a more than 8 centimeters may long ribbon drops metallic chain is acted the role of article) .
The look in tracheal bronchus does not get the least bit foreign body.
The any besides air enters spirit way to make tracheal foreign body.
Ni Xia, zhang Xing and bang glow reviewed a gender to analyse Shanxi to save children hospital to was eyewinker of tracheal, bronchus via diagnosing to December 2015 in January 2010 and the case that takes out a foreign matter successfully via the operation, in all 1310. The eyewinker sort that takes out includes food sex eyewinker to be like earthnut, melon seeds, happy fruit, chestnut, walnutmeat to wait in all 1183, among them 762 are earthnut, hold sum total 58.2 ％ ; Eyewinker of blame food sex in all 127; Wait like the cap of a pen, ability to write, whistle, bone.
Tracheal bronchus eyewinker diagnosed Chinese children to go out with middle finger of remedial expert consensus 2018:
- Press the origin of the eyewinker, great majority is outside source sex eyewinker, occupy 99% , source sex eyewinker is occupied only inside 1% . Press the property of the eyewinker, plant sex eyewinker is the commonnest, occupy about 92% , give priority to with edibility eyewinker, among them the firm fruit such as pignut, melon seeds and legume is occupied about 80% ; Animal sex eyewinker is occupied about 3% , with bone the commonnest, it is the flesh next kind; Other foreign matter is occupied about 5% , if bedspring is mixed,the eyewinker such as tinsel, plastic pencil, scrip and whistle also can appear.
The main reason of tracheal bronchus eyewinker has children:
1.Of cheeper tracheal the cricoid cartilage development that manages with esophagus across is not perfect, the protective function that deglutition coordinates function and larynx is diseased, ;
2.Cheeper tooth grind one's teeth not bud goes out, masticatory function is not perfect, cannot wait for earthnut, melon seeds, legume content chew;
3.Substance is contained in cheeper mouth conversation, cry laugh and when acuteness activity, contain the mouth easily substance inspiratory and tracheal;
4.Cheeper curiosity is strong, the pron any thing that wants to be able to be taken only can send in past mouth, substance is contained in liking a mouth;
5.When nurse is undeserved, can cause insensible little patient to be sucked by accident inside source sex eyewinker, the form that be like model the cause of formation that bronchitic, granulation also is this disease.
The adult is tracheal the sort of bronchus eyewinker:
1.Can divide spirit way eyewinker according to chemistry for organic kind with inorganic kind eyewinker. Organic kind of eyewinker with seed of earthnut, sunflower, watermelon child wait for plant seed to see more, inorganic kind of eyewinker is common toy fittings, button, the cap of a pen.
2.Can divide by eyewinker origin for inside source sex and outside source sex eyewinker, fluid of patient oneself origin or the blood of the generation when accepting an operation, pus, puke and dry scab for inside source sex eyewinker, and eyewinker of sex of the source outside be by the outside foreign body that the mouth enters by accident nasally.
3.Eyewinker of cure source sex is to point to carry out inside the hospital diagnose, the spirit way foreign body that when the technology such as operation, cure is operated, creates, the common tooth that the patient falls off, medical bad news material and fittings of medical apparatus and instruments.
The adult is tracheal the main reason of bronchus eyewinker has:
(After 1) drinks drunk wine, vomiting. Disease of alcohol sex brain arises dazed, have a headache, coma of disgusting, delirium, limbs, in all aid the clinical symptom such as faintness of maladjusted, consciousness, because consciousness is ambiguous, send deglutition reflection, cough reflex is abate, when appearing to vomit in great quantities, cause easily suck by accident. With in the youth is in the majority;
(The reflection ability of receptor of nerve ending of 2) old people is slow, protection pharynx reflex is abate, spirit way sensitivity is poor, bring about deglutition function obstacle easily, happen to be sucked by accident thereby;
(The senile patient of ill sequela of 3) head blood-vessel, cerebral ill disease brings about deglutition to blast off, cough reflex is apparently abate, every are sucked by accident at minim or deglutition not free, bring about spirit way eyewinker easily. Because slow, disease brings about reflection ability to be sucked for a long time by accident, patient of eyewinker of way of spirit of reason old age is collective the characteristic is to cannot offer clear eyewinker to attract medical history by accident;
(3) is additional, the cause that causes eyewinker of way of grow upping spirit is to had eaten every fast, appetite the overmuch, Tan Xiao when taking food, will be similar to the get down of tiny foreign body such as fishbone.
(The picture comes from a network)
Eyewinker of tracheal, bronchus is clinical commonner
And the likelihood causes serious consequence
Answer to be given priority to in order to prevent.
Tracheal bronchus eyewinker is one of critical disease
Want against time
As soon as possible emergency treatment just can succeed
Bibliographical reference
1.Surgery of neck of nose pharynx and larynx of side of China cure society learns branch children group. Tracheal bronchus eyewinker diagnoses Chinese children with remedial expert consensus [J] . Magazine of surgery of neck of China ear nose pharynx and larynx, 2018, 53(5) : 325-338.
2.Guideline of anesthesiology of 2014 edition China and expert consensus. China cure learns anesthesiology branch to make up. Beijing: .2014;170-180 of people sanitation press.
3.Ni Xia, zhang Xing, bang glow. Tracheal bronchus eyewinker reviews children 1310 times the gender is analysed [J] . Chinese medicaments and clinical, 2018, 18(02):274-276.
4.Gao Feng, huang Bin, gao Lu, li Ting. Because cause of disease of hair of eyewinker of adult spirit way reachs make a diagnosis and give treatment to experience [J] . Journal of Guangxi medical university, 2017, 34(12):1792-1793.
