At 8:45 a.m. on December 16, in a vegetable garden in Qiaotou Town, Dongguan City, Mr. Wei and his wife, vegetable farmer, were working.
I saw my 3-year-old daughter Xiaoyi fall to the ground, her mouth open, and her mouth spitting blood. Mr. Wei sawA pencil was inserted into her daughter's mouth。The son told them that his sister was playing with a colored pencil in her mouth and accidentally hit her face on the ground when she fell, and that this is how the pencil might have gotten in.
The couple immediately drove to Qiaotou Hospital, not daring to delay for a second. At 8:57, they rushed to the emergency department of Qiaotou Hospital. **Quickly take the child to the otolaryngology department, and after receiving the consultation, Dr. Li Jinhua judged that the foreign body in the child's mouth was deeply penetrated, and the condition was criticalImmediate surgery
After receiving the report, Huang Yu, director of the Department of Eye, Otolaryngology and Laryngology of Qiaotou Hospital, immediately notified the medical staff on duty in the operating room and department to prepare for rescue, and he also immediately rushed to the clinic to check the child's condition. Sedated and performed with the child's vital signs safeCT three-dimensional examination
The results of the examination showed that "the girl had a foreign body residue on the right side of the oral cavity, which passed through the right parapharyngeal soft tissue to the anterior edge of the slope, and the slope fractured." Huang Yu said, pencilThe soft palate has been pierced through the skull, oral cavity, nasopharynx, skull base penetrating wounds,The tip of the pen is only 4 millimeters away from the brain tissue, once pierced into the skull, the consequences are unimaginable;If the tip of the pen is slightly off, it will puncture the aorta.
At 9:52, Xiaoyi was pushed into the operating room;After the tracheal intubation was successfully anesthesia, the operation officially began at 10:33, with Huang Yu as the chief surgeon and Dr. Huang Ingot as the first assistant.
Opening with an opener, a wooden crayon is seen piercing the incarceration from the right soft palate backwards and upwardsPierce deep bony part of the skull base slope.
They infiltrate the wound periphery with anesthetia, stabilize the pencil with hemostats and pull it out smoothly.
The catheter enters from the bilateral nasal cavity, is pulled out of the oral cavity, the head and tail are bound and fixed, the soft palate is raised, and the nasopharyngeal wound is explored orally with a 70-degree rigid endoscope, and a blue-purple waxy foreign body can be seen and removed.
After the surface is braculed with hemostats, it is rinsed and the soft palate wound is sutured with 2 stitches.
A sponge is inserted from the right nasal cavity to compress the nasopharyngeal wound. Surgery ** blood about 10 ml. No complications.
The operation ended at 11:50 a.m. By the evening of the same day, Xiaoyi was able to speak normally and eat liquid food.
At present, Xiaoyi is still under observation in the hospital**. Mom accompanies her and takes care of her.
Xiaoyi's thrilling experience happens from time to time all over the country. Dongguan has a developed economy and a large proportion of floating population, and some parents are busy with work and neglect to take care of their children, coupled with the lack of health education and management, accidental injuries to children are frequent.
It is reported that nearly 1 million children under the age of 14 die from accidental injuries every year in the worldUnintentional child injuries account for about 26 percent of all child deaths in China1%，And this number is increasing at a rate of about 7 to 10 percent per year. It is urgent to protect children from unintentional injuries.
Child Accidental Injury Prevention
1.Activity place: the ground is non-slip, and the floor is best used indoorsTable corners, chair corners, and wall corners should be madeRounded corners；Do not set up climbable objects in front of balconies and windows, and install them on windowsguardrails
2.Daily necessities: Beds for young children should be availableBed railsThe bed rail latch should be installed out of the reach of young children.
3.Medicines: All medicines in the family should be stored properly and not easily accessible to young children.
4.Toys: Do not give any to young childrenSmall, sharp, toxic substancestoys and items such as beads, clasps, chess pieces, pins, thumbtacks, coins, knives, scissors, etc.
5.Food:Under the age of threeYoung children do not eat jelly, whole peanuts, melon seeds, etc.
6.Prevention of lead poisoning: PeriodicallyClean toys；Regularly clean the room with a damp rag;Don't suck your fingers, wash your hands before eating, and eat less roadside barbecue.
Text: Guangzhou**Reporter Wang Wanli
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