Recently, a doctor from Foshan Fosun Chancheng Hospital (hereinafter referred to as “Chan Doctor”) took out a sewing needle about 4 centimeters long from the body of a 67-year-old patient, disarming his body.
Scary! The 4 cm long sewing needle “lurks” in the elderly’s body
The patient Chen Qiang (pseudonym) is 67 years old this year. He felt pain and discomfort in his left back when he was lying down a few days ago. Because he had suffered a stroke before and had sequelae of stroke such as limb sensory dysfunction, the brief and mild pain did not attract his attention.
In the shower, he realized something was wrong when he noticed a sewing line on his back. Chen Qiang’s family recalled that a sewing needle was left on the bed. Chen Qiang’s symptoms were suspected of being stabbed into the body by the needle.
Song Changshan, director of the thoracic surgery department of the hospital, received Chen Qiang for further examination. Chest CT showed that Chen Qiang did have sewing needles on his body, and the sewing needles had penetrated between the medial side of his shoulder blades and his ribs on his back. Since the sewing needle has been pierced into the patient’s back for several days, with the movement of the upper limbs and back muscles of the patient, the subcutaneous suture has fallen off, and the needle has been displaced, which needs to be taken out immediately.
The needle has penetrated between the medial side of the shoulder blade and the ribs on the patient’s back
“The foreign body entered The human body can move with the movement of muscles, breathing, heartbeat, etc. The sewing needle in the patient’s body is close to the chest cavity. If it enters the chest cavity and pierces the lungs or the large blood vessels of the heart, it will cause serious consequences.” Song Changshan said that it must be urgent for the patient. Surgery is performed and sewing needles are removed.
“If it’s a little later, the needle will enter the chest vertically. With the movement of the breathing lung, it can travel throughout the chest, and there is a possibility of stabbing the large blood vessels of the lung and heart at any time. , so we need emergency surgery.” Song Changshan said.
The doctor accurately locates the “needle finding” in the body
Compared with finding a needle in a haystack, it is not only difficult, but also dangerous. Song Changshan introduced that the sewing needle may be further displaced during the operation and fall into the chest cavity, making it more difficult and dangerous to find the needle. If the sewing needle is in the chest cavity, it may puncture the large blood vessels of the heart and lungs, causing massive bleeding and endangering the patient’s life.
According to Song Changshan, the biggest difficulty in surgery is positioning. How to accurately locate the needle requires not only precise anatomical surgery, but also no expansion of trauma. turn up.
The surgical team headed by Song Changshan performed removal of the left chest wall sewing needle for Chen Qiang under general anesthesia. The operation seems to be simple, but due to the hypertrophy of the muscle layer on the back of the scapula and the small diameter of the sewing needle, it has been displaced between the scapula and the rib, and it is not easy to successfully remove it.
In order to minimize the local damage, Song Changshan incised layer by layer according to the anatomical relationship during the operation, and the incision was minimized for exploration. Due to the small diameter of the needle, the doctor cannot touch its position with fingers to prevent cross-infection of the puncture wound, and can only be pulled out with forceps. Due to the occlusion of the scapula, it was difficult to see the specific location of the sewing needle, so Song Changshan used the C-arm machine to find the exact location of the sewing needle during the operation, and then completely took out the sewing needle with a length of about 4 cm.
The surgery will take it out completely, about 4cm long
After the surgery, it will be taken care of by the doctors After recovering from anesthesia, Chen Qiang can go to the ground and move on, and his mental state is good. Chen Qiang has recovered and been discharged from the hospital.
Song Changshan reminded the public that if they are accidentally stabbed by a foreign object, they should remain calm and try not to move. Because with the movement of the limbs, the foreign body will swim along the muscle gap in the body, making it more difficult to remove. The foreign body will even move along with it, injuring the important organs of the chest and abdomen, causing more damage. “It is very important to seek medical treatment and emergency surgery to remove foreign bodies as soon as possible, and active treatment is very important,” he said.
Text/Guangzhou Daily·Xinhuacheng reporter: Gao Minhua Correspondents: Hu Hui, Li Ailing, Xing Ying, Xu Ziyan
Guangzhou Daily·Xinhuacheng Editor: Lu Kaisheng