Recently, the City Children’s Hospital received a case of 6-month-old boy Ng HK A., male, living in Tan Quy Tay Commune, Binh Chanh District, Ho Chi Minh City in a state of anxiety, difficulty breathing, and disturbances. crying, mouth a lot of mucus. Before 1 hour, the child was lying down and playing normally, the mother kept the baby to go to bed, went down to the kitchen to make milk for the baby, while the young mother was making milk, suddenly heard the child crying, the mother immediately ran up to see the child upset. Struggling to cry loudly, with a lot of mucus in the mouth. The mother picked up the child to comfort her, discovered that the “talisman” pin on the baby’s shirt was missing, and the “talisman” fell on the bed, so she immediately took the child to the City Children’s Hospital. Here, the child was found to be tired of breathing, coughing heavily, with a lot of mucus in the nose and mouth, constantly crying, receiving emergency oxygen, aspirating mucus from the nose and mouth, setting up the line, taking chest X-ray, recording a needle. lying in the gastrointestinal tract, in the protrusion position, the needle point is at risk of intestinal puncture, so consultation with specialists in gastroenterology, anesthesiology, resuscitation, respiratory, otolaryngology and ENT to decide on urgent lower gastrointestinal endoscopy cooperation and support of specialties. Gastrointestinal endoscopy results show that the needle is located in the antrum of the stomach, so it should be removed in the safest way (the tip of the needle is “covered”, gently pulled slowly through the stomach, center stomach, esophagus, endoscopic examination of the gastrointestinal tract again, recorded slight scratches to the lining of the antrum, no damage to perforation, bleeding, and the child continued to be treated at the gastroenterology department and received protective medication. gastrointestinal mucosa, monitor bleeding and complications of intestinal injury, intestinal perforation.In this case, we would like to note to parents:
Always have someone to take care of, care for and monitor children under 3 years old
Know how to handle foreign bodies in the digestive tract: When detecting that a child has a foreign object in his mouth, stay calm, do not cause panic and fear for the child, especially do not use your hand to pick the foreign object without seeing it because it is easy. make a foreign object enter the airway, keep the child in a comfortable position, reassure, comfort, take the child to the hospital immediately.
Parents should note that all items worn by children can have a high risk of causing foreign bodies in the respiratory and digestive tracts, so be very careful, it is best not to wear anything!!!
Doctor 2 Nguyen Minh Tien
City Children’s Hospital