Life-threatening from choking on foreign objects in the airway

Thanh Thanh |

HCMC - Respiratory foreign object is a dangerous accident that often occurs in young children. If not handled promptly, it can endanger their lives.

Patient P.L (female, 11 months old, Kien Giang province) was admitted to the City Children's Hospital in a state of cracked, crying, shortness of breath, hoarseness, soft abdomen, and enlarged liver.

chest X-ray results showed a foreign object obstructing the downeral region of the homeostasis. CT scan shows a foreign object in the tracheal cavity, 15mm from the Tau Bar covering, causing a blockage of nearly 80% of the tracheal cavity. The doctor diagnosed the child with a foreign body in the airway, complications of severe respiratory failure.

Exploiting medical history, 1 week before being hospitalized, after eating congee fish with shredded chicken, the child suddenly cried, coughed, lost sound, breathed a lot, and did not purple again. The child was hospitalized at a local hospital for 5 days of treatment. When discharged from the hospital, the child was still short of breath.

After being discharged from the hospital 2 days later, the mother saw that the child was still quiet, had a shortness of breath, could not breastfeed, and had no fever, so she took the child to another hospital. X-rays that did not detect the foreign object blocking the view, diagnosed bronchitis, sprayed with Adrenaline gas, and injected with Dexamethasone.

After that, the child did not improve, and the family transferred the child to the City Children's Hospital. Children are supported with respiratory and antibiotic supports. After consultation, the child underwent anesthesia, using a flexible scanning tube to check his mouth, recording that the throat and laryngosphere were cleared, and the 2 closed and opened strands were well opened.

After causing numbness, the endoscope went down to the tracheal area right under the 2 sonar wires, recording a 3x7mm tectonic foreign object, almost completely covering the tracheal. The surrounding airway walls are covered with a lot of white mounds.

The doctor used a calcium to remove the foreign object, which was a piece of chicken bones. After the procedure, the lungs were evacuated on both sides, and the child was alert.

Through this case, Dr. Nguyen Minh Tien - Deputy Director of the City Children's Hospital recommends that parents should pay attention when taking care of children, preventing milk stings or avoiding children from sucking foreign objects in the airway.

Kongee bone broth must be thoroughly stewed to avoid remaining bone debris and avoid endangering children. Do not let your baby eat or cry, do not let your baby suck or eat while he or she is crying

When feeding young children, the seeds and bones must be removed. Do not let children under 3 years old eat nuts.

Do not let children play with small toys that they can hold and swallow. In particular, there are always people to care for, care for and monitor children under 3 years old.

Thanh Thanh
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