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强吞鱼刺插在食道鲜血直流
2017-08-22 05:21:54 中国青年网
本报讯(记者莫梓芫 通讯员杨莎莎 李俊平)鱼刺卡在喉咙,喝了几口醋后就着米饭强吞,没想到越发疼痛。患者到医院检查才知,鱼刺插进了食道里,鲜血直流。
家住后湖61岁的余师傅回忆起前天吃鱼心有余悸,中午吃鱼时鱼刺卡在喉咙,喝醋吞饭后反而越来越重了,到了下午吐出来的口水还有血,余师傅赶紧到汉口医院耳鼻咽喉科挂了个急诊。
通过喉镜检查显示,余师傅整个下咽及喉部的黏膜全都充血水肿,左侧食道入口一直冒鲜血,后经CT检查显示,鱼刺在食道的第一狭窄处,喉镜的长度够不到鱼刺。耳鼻咽喉科联系消化内科和麻醉科会诊,在几个科室医生配合下,应用无痛胃镜术为余师傅取出了一枚长达2.8厘米的鱼刺。
耳鼻咽喉科刘艳主任介绍,鱼刺、鸡鸭骨头卡喉,常用的喝醋方法软化鱼刺,效果十分有限,而且鱼刺被醋软化后在异物钳下取出时容易折断。用吞米饭等食物的方法将鱼刺硬咽下去则更加危险,被硬吞下去的鱼刺有可能刺穿血管,酿成悲剧。
刘艳主任强调,正确做法是让患者放松,如果家有手电筒等照明工具可以尝试用宽背勺子压舌看看鱼刺是否在咽部,如果看得到可以尝试用镊子夹出来,如果看不到或者自行无法取出就尽快去医院处理。
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