Talking about the errors and correct treatment methods of fishbone stuck throat.
Writing | Shen Yuqin
Hengshui CitySecond Peoples Hospital
During the Spring Festival, according to the beautiful meaning of the Chinese "more than the year", fish is an indispensable delicious dish on the Chinese dining table.However, "eating fish every year, more than every year, and daily stabbing" has also become the mantra of the otolaryngologist during the Spring Festival.
The fishbone card throat occurs. If the processing method is wrong, it may cause more serious consequences. So what is the correct treatment method?Let me talk about the errors and correct treatment methods of fish thorn card throat in combination with examples.
Error method 1: Forcibly swallow
When the fishbone is stuck in the throat and throat, most of them will feel tingling and obvious foreign body sensations.Generally, fish thorns to the mucosa of the pharynx can cause congestion, edema, and even cough.In addition, although it is rare, the fishbone card can also cause reflexive laryngeal spasm and obstruction of foreign objects and cause dyspnea. In the process, it may also be accompanied by symptoms such as hoarseness, asthma, and laryngeal throat in varying degrees.
Some people use eating steamed buns and swallow rice balls to try to bring the fishbone. In fact, this method is not scientific and dangerous.It is not only possible to make the fishbone thorns deep into the throat under the squeeze of food, increasing the difficulty of pulling out the fishbone, and some soft small fishbone may be brought into the stomach by food such as steamed buns, but the harder big fish thorns may even cut through even cutting throughThe throat and esophagus cause perforation.The aorta is next to the esophagus, and even more severe cases will even pierce the esophagus and large blood vessels. Of course, this case is rare.
I still remember that during my studies, a lady almost lost her life because of a fish thorn.
After the lady was stuck by the fishbone, she adopted a "soil method" such as a large swallowing rice ball and wanted to swallow the fish.I did not expect that the fishbone was getting deeper and deeper, and it almost pierced the large blood vessels in the neck. Later, I could only go to the hospital for full anesthetic surgery.
Another case that impresses me is a 10 -year -old child, the parents let the parents swallow the rice ball after the fishbone card throat. As a resultIt was pushed deeper to form a neck abscess, and finally it could only be removed by general anesthesia surgery.
Error Method 2: Drink vinegar and soften the fish bone
Some people mistakenly believe that the ingredients of the fishbone are calcium, the vinegar can react with the calcium, the fish thorns encounter encounterVinegar softened until it dissolves.However, the effective ingredient of vinegar we consume is acetic acid. The chemical name is acetic acid. Generally, the content of a bottle of edible vinegar is 4%-6%. Such a low content needs to be soaked lasting with it.After drinking vinegar, the vinegar fluid will quickly flow into the esophagus from the throat, and will not stay at the fishbone for a long time, so it cannot be softened at all.Moreover, the acetic acid contained in vinegar can burn the soft esophagus mucosa of children, and can cause the wounded part of the fishbone to be wounded more severe, deepen the pain, will also have a bad impact on the throat, and even cause acute laryngeal edema.Therefore, drinking vinegar and removing fish thorns is not only effective, but also may hurt the laryngeal mucosa.
How to properly handle the situation of the fishbone cards throat?
1. When it feels like a fishbone card throat, first keep calm and confirm whether there is a fishbone card throat.
The specific method is: you can try to swallow the saliva several times. If there is a fishbone stuck throat, it will generally have a clear tingling sensation when swallowing, and the pain is often fixed in one part, and the still rests is still.The pain is not obvious.Sometimes eating too fast, the fishbone will scratch the mucous membrane, causing the illusion of a fishbone card throat. The pain site is generally not fixed, and the discomfort will often disappear by itself for 1-2 days.
2. Once confirmed that the throat is stuck, the fishbone should immediately stop eating, fasting for water, avoiding food catering and gastrointestinal damage to the esophagus and gastrointestinal.
3. You can try light cough first. If it is a small fish thorns, it will be washed out by vibration or airflow.
4. If you cannot cough and do not have the conditions to seek medical treatment in time, you can use the tongue panel or a spoon to press the tongue at the first third of the tongue, and then press the tongue.You can let the family look at the position of the thorns, and check the throat area with a bright light source such as a flashlight. Suppose that the naked eye can be seen, the position is very shallow, and you can use chopsticks or dumplings to gently remove the fish.Note, please do not try to pick up with your fingers blindly to avoid causing secondary damage.
5. Medical treatment.If you cant take it out, or those with a deeper position of the fishbone or obvious neck and chest pain, you need to go to the Department of ENT as soon as possible, please ask a professional doctor to take the thorns.
Before taking the thorns, our doctor will check the location of the fishbone first. Most of the fishbone is stuck in the tonsils and these shallow positions at the root of the tongue.The tongue and the forehead light the entire mouth, and the fishbone above the tongue can be taken out in seconds.
If the routine inspection of the oral or pharynx can not be found under the mirror in the forehead mirror, you can further conduct a throat mirror inspection according to the patients main complaint.Seeing the fishbone, if you cant find the fishbone, you can go back to observe it for a while. There was no fish thorn for 3 consecutive days of laryngeal endoscopy for 3 consecutive days.: The rice ball is forcibly squeezed into the deep part.
If the patient has always been uncomfortable, but the conventional method has not been found in a fishbone, you must further check the gastroscopy or throat and neck CT.Same.
Most of the fish thorns are more common in throats. Rarely discovery fishbone enters the esophagus and needs to use esophageal mirrors or gastroscopy for thorns.If the stomach, small intestine, etc., the gastroscopy cannot be taken out. The surgical treatment is needed as depending on the situation.Overall, as long as it is properly handled, there will be no big deal.
There are many dinner during the Spring Festival holiday. As an otolaryngologist, remind everyone: to eat fish and chew slowly, do not talk or laugh, in addition, give children fish to eat fishMake sure that the fishbone is eliminated.Once the fishbone stuck throat, after reading this article, you should have clearly dealt with how to deal with it correctly.
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