Reporter Chai Yueying Correspondent Xu YoujiaTo pick teeth with a toothpick is a small habit of many people after a meal. After a meal, the sense of ritual must be realized by a small toothpick. After a full meal, no matter whether there is any food residue between the teeth, the toothpick is like this, and it feels like the day is perfect. As everyone knows, such a small action brought Mr. Zhang (pseudonym) a big life adventure. Sudden abdominal pain, CT scan turned out to be an advanced colon tumor? Mr. Zhang has always felt that he can be called a “winner in life”. In his early 40s, he is healthy and strong, his family is perfect and harmonious, and his career It is at its peak. But recently, sudden abdominal pain almost scared him into doubting his life. Last Tuesday at around ten o’clock, Mr. Zhang, who was about to take a bath and go to bed, suddenly felt very pain in the lower abdomen on the left side, “I don’t know how to describe it. , yesan unprecedented pain The pain was so painful that a big man couldn’t take it anymore.” Enduring the severe pain, Mr. Zhang took a taxi tothe emergency department of the Wulin Branch of Hangzhou Hospital of Traditional Chinese Medicine. After arriving at the hospital, the surgeon on duty in the emergency department that night quickly performed a CT scan for him. The results showed that “Colon wall thickening, peripheral exudation, and intrahepatic hypodense”. “It seems to be a tumor in the colon!” The surgeon looked at the brawny man in front of him with the CT report. He didn’t really believe it, so he didn’t tell Mr. Zhang about the preliminary diagnosis, but asked him to move into an outside hospital. Further examination in the ward. After being admitted to the hospital, Mr. Zhang was immediately arranged for another enhanced CT, and the results were more obvious: The sigmoid and descending colon Intestinal wall thickening with surrounding exudative changes. “What exactly do these terms mean? I What’s wrong with my intestines?” Looking at Mr. Zhang’s face full of question marks, the doctor explained to Mr. Zhang: According to the CT report, it cannot be ruled out that it is a tumor in the intestines, and at the same time cannot be ruled out Is there a small perforation on the road…. When he heard the tumor, Mr. Zhang was so scared that his face turned pale, and the doctor quickly comforted him. No one could see what was in his stomach, and he could not make a rash conclusion. Next, another colonoscopy will be arranged, so that he must relax and take active treatment. Considering that the small perforation on the intestinal tract may have formed a partial package, the current intestinal condition is not suitable for colonoscopy for the time being. The management doctor decided to temporarily give Mr. Zhang Fasting, fluid replacement, anti-infection treatment, strive to control infection as soon as possible, and then perform colonoscopy. There is another secret, catch the culprit, the small toothpick! After two days of treatment, Mr. Zhang’s abdominal pain seems to be gradually improving, but Huang Hai, Director of the First Department of Surgery, touched the patient’s stomach during rounds and could still feel the pain. Very marked tenderness, rebound tenderness, and peritoneal irritation sign of muscle tension. Director Huang Hai’s heart sank immediately: In theory, after several days of conservative treatment, the patient’s symptoms have also been significantly relieved, and the left lower quadrant should not still have such obvious tenderness.There must be “something else” about this abdominal pain! So he hurriedly instructed the physicians in the group to do another abdominal CT scan, and be sure to catch the culprit that caused the abdominal pain. The inspection results came out soon, which confirmed Director Huang Hai’s prediction. At the moment of opening the film, Deputy Chief Physician Jin Haimin of the treatment group immediately discoveredthere is a faint long strip on the side of the left lower abdominal intestinal tube , because the density is not high, the exudation peak was covered by the exudation shadow a few days ago span>, the oozing has faded now, and the long shadow is very conspicuous.
Based on this slender shadow, Jin Haimin suspects that Mr. Zhang is swallowing Fishbone and even toothpicks, hurriedly asked Mr. Zhang again. Speaking of toothpicks, Mr. Zhang suddenly woke up“That’s right! It’s toothpicks!”Mr. Zhang said himself There is a not-so-good little habit-basicallylean on the recliner after dinner every day, pick Brushing your phone with a toothpick is a relaxing time after a long day at work. But a few days ago, maybe because of working too hard, I fell asleep while resting on the reclining chair. I woke up in a daze, and I didn’t even remember that I fell asleep with a toothpick in my mouth. The next morning, the treatment team arranged for Mr. ZhangLaparoscopic minimally invasive surgery< /strong>, during the operation, a toothpick was found in Mr. Zhang’s sigmoid colon, which had pierced the intestinal wall and was surrounded by exudation. During the operation, Jin Haimin took out this “harmful” small toothpick, in the tiny Precise sutures are completed on the smooth bowel, preserving Mr. Zhang’s bowel,minimizing the trauma to the patient’s body. After the operation, when everyone was happy for Mr. Zhang’s final turnaround, the talented Dr. Cheng Kang in the intensive care unit also wrote a poem in front of the bed: Digestive tract is difficult, it is difficult to last nine days, Accidentally fell out of the door, and drifted away from the esophagus, passed through Bentong and tasted all the sourness, and the duodenum was connected to the C position.Traveling through mountains and rivers is full of scenery, Looking back at the jejunum, I can’t sleep, flying through the ileocecal region all night, poor liver and spleen, weak and tired, swollen, sigmoid colon pierced with a sword,< span>Blood-stained peritoneal pomegranate flowers, but Mingjing sent you to move. In fact, this poem also just vividly expounds the toothpick’s “digestive tract rafting”: After passing through the esophagus, the cardia of the stomach, the pylorus, the duodenum, the very long jejunum, the ileum, and the abnormally narrow ileocecal, the narrowly wound colon The hepatic and splenic flexures did not get stuck, and they almost reached the anus. They were finally intercepted by the sigmoid colon. In fact, any of the above sections of the digestive tract are quite difficult to pass through. “, being able to “pass five levels and cut six generals”, he would have been pierced or stuck in the first few levels. At the same time, Director Huang Hai reminded everyone that if you accidentally swallow a sharp object such as a toothpick or fishbone, you should not blindly induce vomiting (such as picking your throat, slapping your back, etc.), drinking vinegar, or taking laxatives. It may cause secondary damage to the digestive tract.Seek medical attention as soon as possible. According to the position of the toothpick in the digestive tract, the doctor can remove the toothpick through endoscopy or surgery span>. At the same time, it is recommended that you also get rid of the bad habit of having toothpicks after picking your teeth, eating fruit plates, mini sandwiches, toothpick beef, fish and other foods Chew slowly, do not eat while talking or laughing, Avoid swallowing toothpicks or fishbone.