Here says the commonnest esophagus eyewinker block.
Children esophagus eyewinker is in 0 ～ 3 years old of incidence of a disease are highest, the little patient because action in chief is not clear, often behave be troubled by to cry, refus is fed, the salivate, vomiting after taking food, individual case of illness because the foreign body is huge, be located in esophagus entrance, oppressive larynx and occurrence larynx cries, appear even breath is difficult. Breathing difficulty is the biggest risk of children esophagus eyewinker, the reason is children tracheal speech is little, cartilage development is not complete, largish eyewinker can oppress tracheal rear wall causes breathing difficulty, choke even.
Create infant esophagus foreign body the mainest reason is the parent or mandatory personnel guard lax, infant happy event catchs all sorts of article to put the entrance inside or by other year cheeper puts the entrance inside, the card after deglutition is in into esophagus stricture. Accordingly, appear suddenly to unidentified reason afore-mentioned behave and the near future is affected without respiratory tract history person, especially the parent does not fall in the circumstance beside children at that time, want to suspect esophagus the likelihood of the eyewinker highly especially, convention answers to photograph sternum or radiography of the esophagus that swallow barium when seeing a doctor, make fiber laryngoscope inspection when necessary. Understand laryngeal and esophagus population situation, lest leak examine. Bosom CT is three-dimensional rebuild the can very good volume that reflects esophagus eyewinker, position, direction, border, of complication have without reach serious level. Those who be worth to remind is, accompany phonic hoarse, larynx to cry at the same time, the person that breathe difficulty must remove tracheal foreign body, lest by accident examine is treated by accident.
Children esophagus eyewinker treats the choice of means.
Patient of most esophagus eyewinker can issue lens of classics horniness esophagus to be taken out in complete hemp, the foreign body of smooth and compressed state that is located in esophagus entrance partly can be taken out through Foley canal. Foley canal takes out the eyewinker inside children esophagus to get used to card: Eyewinker of ① esophagus blunt form, ② medical history is less than 24h, ③ suffers from without respiratory tract disease, ④ does not have esophagus disease, operation history [6I. This method has operate the characteristic with safe and simple, quick, small loss without anaesthetic, tool, lead tall characteristic successfully to having the person that get used to card. Irregular to configuration of a few eyewinker, take out difficulty or eyewinker to already pricked person mucous membrane inside, course of diseases is long, inflammation is apparent, the person that have perforation or massive haemorrhage risk, should change surgical operation cure.
The turn that takes out about the eyewinker should be to be on sufficient and abstinence foundation, it is better that esophagus eyewinker is taken out earlier. The course of diseases when be like a patient to see a doctor is already longer, and appear calorific, stomach is aching and cold, dehydrate, acuteness when waiting for a symptom, answer to undertake actively refusing phlogistic treatment, correct water, electrolyte, soda acid as soon as possible the balance is disorder, undertake necessary support is treated, square feasible eyewinker takes out skill. If patient companion has breathing difficulty, remove above all respiratory tract block. Consider a tracheotomy when necessary.
