At noon on March 8, an anxious mother and daughter came to the Pediatrics Clinic of Liuzhou Workers’ Hospital, “Doctor, please take a look at my child, I don’t know why I keep coughing for the past two days.” The family anxiously told the doctor on duty.
Xiaomei (pseudonym), a 9-year-old child from Liujiang District, began to cough after having a tooth extracted at a local hospital two days ago, and the cough gradually worsened. The outpatient doctor considered that there was a foreign body in Xiaomei’s trachea. After communication with the family, he was admitted to hospital.
The CT scan showed that Xiaomei had a foreign body in her trachea. After receiving the report from the doctor on duty, chief physician Luo Jinquan pointed out: The foreign body has been in the trachea for two days and must be removed as soon as possible. Because if the teeth continue to travel down the lower bronchus, it may cause dangers such as atelectasis, pneumonia, and even respiratory failure.
CT tips to consider tracheal foreign body
After receiving the notification, the members of the pediatric foreign body removal team immediately carried out preoperative preparation, and gave the child tracheal intubation under general anesthesia for fiberoptic bronchoscopy with bronchoalveolar lavage + bronchoscopy to remove foreign bodies. The entire operation lasted 25 minutes. A tooth was successfully removed from the opening of the child’s right middle lobe and lower lobe bronchus. After the child woke up, the tracheal tube was successfully pulled out and the ventilator was removed.
Director Lao Jinquan (3rd from right) and his team are taking foreign objects
The tooth that fell out of the trachea was removed
According to Xiaomei’s mother’s recollection, At that time, after the tooth extraction at the local hospital, Xiaomei’s extracted tooth fell off accidentally. They thought that the tooth was swallowed in the stomach and should be pulled out by themselves, but they didn’t take it to heart. , Unexpectedly, such serious consequences occurred.
Bronchoscopically found lost teeth
Director Lao Jinquan reminds parents that once they find that their child’s lost tooth has been inhaled, they must go to the hospital in time. The doctor will determine whether the tooth has fallen out of the airway or the stomach, instead of waiting at home for observation. In the process of waiting, if the child does strenuous exercise, the tooth falls into the main trachea or the glottis is stimulated to spasm, it will be life-threatening at any time.
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Doctor reminds again:
A child at home suddenly has a cough for unknown reasons, and must go to the hospital for consultation in time, and must not ignore it or buy medicine and take it by himself.
In addition, infants and young children have poor chewing function and insufficiency of the protective reflex of the larynx. When eating nuts such as peanuts and melon seeds, the trachea may be stuck, and children of this age group are not very good at expressing, so the risk is relatively high If you must give children such snacks, try to break the hard food before giving it to the child. When eating, chew it slowly, don’t play, laugh, and don’t reprimand or scare the child, so as to avoid the child from crying. Make trouble, run and jump, so as not to choke and cause serious consequences.
Source: Liuzhou Workers Hospital Internet Hospital