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三岁幼儿腹痛小肠末端发现枣核
5月8日晚上,哈医大二院小儿外科接诊了一名三岁的小患者,小女孩儿最近总是嚷着肚子疼。医生给孩子做了超声检查,在孩子的小肠末端发现了引起腹痛的元凶——一个类似于枣核的东西。
孩子的母亲回忆,来就诊的前几天,确实给孩子吃过大枣。而且孩子吃进去两个枣,却只吐出来一个枣核。
如果枣核只是在肠道内游动就不需要开刀手术,而一旦枣核刺伤了肠壁,就需要开刀取出枣核了。经过进一步的彩超检查,医生发现这枚枣核的位置似乎很固定,枣核的尖端跟肠壁是重叠的。
微创开刀取出枣核
医生判断,枣核的尖端已经刺入了患儿的肠壁内部,很有可能已经刺穿肠壁。一旦肠子的内容物流到腹腔里 ,就会污染腹腔引起腹膜炎。幸运的是,孩子并没有出现这种情况。最终医生决定开刀微创手术,取出枣核。
医生提醒家长们切勿大意
一枚枣核就可能对孩子的健康造成威胁,家长们在喂孩子的时候,会注意到枣核里的危险吗?记者随机采访了一些市民,不少家长都对自己家的孩子充满信心,认为孩子吐核没问题。
但哈医大二院小儿外科主任李昭铸提醒家长们,年龄较小的幼儿在吃枣的时候,家长最好提前去除枣核,避免发生危险。一些坚果类的食物也需要引起家长们的注意。包括孩子在玩玩具的时候,一些小的尖锐的东西都不要给孩子玩,在放到嘴里玩的过程中,很容易不小心就吞进去了。
责任编辑:穆启春 CN063
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