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1岁男婴拿筷子跑跳不慎摔倒 被扎穿眼眶直入颅脑

2017-09-23 01:26:57   中国青年网

吃饭时间,1岁7个月的宝宝手拿一根叉着肉丸的筷子跑跳,却不慎摔倒,可怕的事情发生了。

筷子经由孩子右眼眶穿入,直至左侧颅底。

20日凌晨,广州市妇女儿童医疗中心收治了这名来自惠州的幼儿小浩(化名)。经评估,这枚油腻腻的金属筷子在扎进头部后,幸运的避过了所有大血管。专家会诊后,异物于凌晨3点被拔除。

“这已经是今年收治的第二例被筷子扎进颅内的幼儿了,小朋友在接触锋利物品时,一定不能跑闹!”医院小儿神经外科主任李方成教授表示。

李方成告诉咩事,家属立即驱车从惠州往广州赶,由于害怕车行颠簸造成异物震动,他们用了四个多小时才赶到广州,于21日凌晨12点来到了医院急诊科,“家长的意识还是不错,至少没有盲目的拔出筷子。”

李方成表示,就术前术后的诸多情况来看。筷子前进的路线非常幸运,避过了一系列重要的血管神经,也并未造成太多的伤害。小浩现在神志清晰,情绪稳定,可以大声哭闹,肢体运动也没有出现障碍,预计今天(22日)就可转回到普通病房。

初步评估,小家伙的右眼眼球活动能力可能会受到影响,视力需要眼睛水肿完全消失后评估。垂体功能可能受到损伤,语言中枢也可能受到累及,需要在爸爸妈妈的帮助下进一步评估神经损伤情况。

千万确保孩子远离危险物品!

据悉,市妇儿医疗中心今年已经收到两例幼儿被筷子戳进颅脑的病例。幸好两位小朋友运气都不错,没有危及生命和重大神经损伤。但从以往病例来看,几乎都会留有后遗症。

李方成提醒,1岁多孩子颅骨发育尚未完善,颅骨厚度、钙化程度和成人有距离,本身就比较软,假如利器戳在凹陷的眼眶、口部,就容易捅进去颅内。

而这个阶段的孩子刚刚学会自己走路,却尚没建立安全意识,对家长的指引也似懂非懂,家长照看时一定要多用心,日常生活中的筷子、牙签、刀叉、剪刀等都会造成危险,要确保孩子远离这样的物品。

异物插入颅脑不要随便拔!

李方成还郑重提醒:当有异物插入颅脑,直接拔出来是“非常危险的事情”:“你不知道异物捅进去多深,经过什么血管神经,颅脑内的情况如何,太多未知的东西在里面了。假如筷子插到了重要血管里,本来筷子还能像塞子一样堵着伤口,一强行拔出来,血管开放了造成大出血,可能还没来得及送到医院就已经没有了。”

责任编辑:任冲 CN062
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