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7岁男孩腹痛近1周,医生取出8厘米棒棒糖棍子[多图]

yyzl 2018-8-11 9:14:23 腹痛男童吞服异物 我要评论(0)

今年夏天,厦门市某医院收治了一位7岁男童,这名小患者原本只是腹痛,结果医生从该男童体内去除了一根长达八厘米的棒棒糖棍子。儿童吞服异物对健康带来的影响是非常巨大的,因此在这里体形广大家长,对于可能导致孩子勿吞服的异物,不宜让孩子接触。

7岁男孩腹痛近1周,医生取出8厘米棒棒糖棍子(1)

1、男童腹内取出长棍

七岁男童浩浩出现了持续近一周的腹痛,父母带着浩浩来到医院就诊。医生通过腹腔镜找到了导致浩浩出现腹痛的“凶器”,原来是一根长达八厘米的棒棒糖棍子。

手术中,医生发现,浩浩体内的这根棍子距离腹腔大动脉仅仅一两厘米,如果不慎刺破大动脉,后果将不堪设想。无独有偶,8岁的小易前些日子也同样因为肚子疼到不行,来医院就诊。经过检查,医生在小易的腹腔内发现了一块纽扣大小的异物,经过手术取出后,医生发现,异物竟然是一块纽扣大小的磁铁。所幸,经过手术和后续的治疗,目前,两位孩子已经基本康复。

医生提醒家长们,平时除了要将危险物品收好外,还应教育孩子不要将玩具等东西随意放入口中。如果发现孩子有腹痛症状时,家长要仔细询原因,并及时到医院来检查。

医院外科二区副主任医师张中喜:这两个孩子,如果四个小时、六个小时来,直接胃镜取出来,就不用开刀了,也不容易损伤肠道,有的孩子害怕家长吵啊、闹啊、挨打,所以不敢告诉家长,所以教育孩子要早期就诊,很关键。

7岁男孩腹痛近1周,医生取出8厘米棒棒糖棍子(2)

2、预防宝宝吞服异物

1、辅食尽量细碎

宝宝在4-6个月龄时,爸爸妈妈就要根据宝宝的发育情况进行辅食添加了。这个阶段的宝宝咀嚼能力还没有发育完全,所以辅食添加要尽量细碎软烂,已米糊和蔬果汁为宜,蔬果类辅食也最好经过充分的碾压成泥或者用料理机搅拌,不要有块状食物,以免宝宝造成卡喉的情况发生。

2、避免易误吞食的食物

我们经常在中能够看到,宝宝误吞食了花生、果核、果冻等食品造成窒息或者抢救的情况发生。因此,爸爸妈妈也要注意,一定要避免喂此类食物。如果想要给宝宝添加坚果类辅食,那么就要通过将坚果打成泥糊再进行喂养。

3、管理收纳好生活小用品

由于宝宝在婴儿期没有分辨危险的能力,但是宝宝的好奇心又足够大,很容易随手抓到一些小物品就往嘴里送。家有宝贝的爸爸妈妈们,一定要收纳好这些易造成宝宝误吞食的生活用品,如:纽扣、针、钉子、螺丝螺母、电池、小件装饰物……最好的方法就是将家中一切物品能够收纳到柜子中,不要令宝宝触及到。

4、药物不要随便放

就像我们前面说的,宝宝没有分辨危险的能力,爸爸妈妈除了将生活中的小物件都收纳好之外,药物类也要“藏”好,以免好奇宝宝以为是糖豆,造成宝宝误吞食。

5、宝宝玩具要定期检查

宝宝手中的玩具也是经常造成宝宝误吞食的危险物品之一,相信大家也经常看到这样的画面,宝宝看着手中的玩具,然后定格2-3秒钟的时间后,就开始将玩具往嘴里送。虽然我们知道在购买宝宝玩具时,不会购买那些宝宝真的一口能够吞下的玩具,但是也要注意,玩具是否能够拆卸,那些易脱落或拆卸的零件也可能造成宝宝误吞食。此外,爸爸妈妈也要经常检查宝宝玩具有螺丝螺母固定的地方,是不是松动了。

7岁男孩腹痛近1周,医生取出8厘米棒棒糖棍子(3)

3、宝宝吞服异物怎么办

第一:沉着冷静

父母千万别自乱阵脚,手忙脚乱的挪动或者剧烈摇晃孩子,这些都是不恰当的行为,一定要自己先冷静下来。

第二:简单识别状况

宝宝吞进的异物可大可小,性状各异,因此一旦发现宝宝吞进异物,首先要识别宝宝的状况。如果见宝宝有咳嗽、气喘、呼吸困难,能听见异物冲击的尖啼声,皮肤、指甲、面色青紫,可判断为气道不完全阻塞;如果出现面色灰暗青紫,不能说话、咳嗽与呼吸,甚至神志不清、昏迷等,可判断为气道完全阻塞。

第三:及时呼叫120并采取急救措施

宝宝喘吸时要尽快呼叫,求救帮助,拨打急救电话,以免宝宝发生窒息现象。在救护车还没有到来之前,爸妈必须争分夺秒尽可能地帮宝宝排出异物,要及时采取以下急救措施:

(1)一岁以内的小宝宝:

先拍背:将宝宝翻转,使脸朝下,让宝宝趴在施救者手臂上,然后用手掌托住宝宝的头颈,用大腿抵住手臂作支撑。宝宝头一定要低于身体其他位置,再用手掌根部果断、用力地叩击其背部两肩胛骨之间5次,利用异物自身重力和叩击时胸腔内气体的冲力,促使异物排出。

后压胸:如果上述方法仍未将异物排出,这时,把宝宝翻正,让脸朝上躺在施救者手臂上,用手掌托住其头颈部,再用腿抵住手臂以支撑。宝宝的头低于身体其他位置,用双手的食指和中指做“挤压器”,将指肚放在宝宝的两乳头中点向下一横指的位置,迅速轻柔地向里向上挤压,连续压胸5次,促使异物排出。

若异物仍未排出,需连续重复拍背压胸动作,直到异物排出。

(2)一岁到八岁的儿童:

立位腹部冲击法:施救者站在孩子背后,手臂直接从孩子腋下环抱至胸前腹部中线处(约在剑突与肚脐之间的中点处)。一手握拳,一手包住拳头,用力且有节奏地向上、向内压数次,以促使横膈抬起,压迫肺底使其产生一股气流从气管内向外冲出,迫使气管内的异物随气流直达口腔,并将其排出。

仰卧腹部冲击法:如果宝宝意识不清躺在地上,取仰卧位,首先开放孩子的呼吸道,然后施救者骑跨在孩子大腿外侧,一手以掌根按压肚脐与剑突之间的部位,另一手掌覆盖在此手掌之上,进行冲击性地、快速地向前上方压迫,反复直至异物排出。

7岁男孩腹痛近1周,医生取出8厘米棒棒糖棍子(4)

宝宝由于分辨不了危险,而且有喜欢要东西的习惯,如果让孩子接触细小的异物,很容易发生吞服现象,因此家长要避免孩子接触这类物品,一旦发生异物吞服情况,如果情况不严重,可以先自行救治,或者紧急送往医院进行治疗,特别是有毒有害的物品。

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