The spatula for cooking, 30 cm long, was inserted into the esophagus, leaving only the scoop exposed outside the mouth, seriously damaging the entire esophagus. Doctors can't help but sigh: "this is really a rare case in 50 years. '
Recently, Kanghua hospital carried out emergency operation for such a female patient from Humen. The doctor was also shocked after asking the reason carefully. "The patient claimed that he suddenly had difficulty breathing when cooking, as if he had a bulla in his throat. It would be good if he thought of the local method of local soil. '
Before using the spatula, the patient claimed to have broken three chopsticks. How could anyone be so ridiculous? Xiao Pu, director of thoracic surgery at Kanghua hospital, said frankly, "at first, he suspected the patient's mental state, but after consulting a psychologist, he found no abnormality. '
At present, the patient has undergone two stages of surgery and will be discharged in two weeks. "However, the thoracic esophagus was severely damaged, and the 25 cm esophagus had been removed by 20 cm. '
Prick a bulla
She inserted the spatula into her esophagus
Yesterday afternoon, Nandu reporter saw in Kanghua hospital that the patient, Ms. Chen (pseudonym), was lying on the bed of thoracic surgery, with a medical tube for conveying nutrient solution in her nose, and the surgical wound at her throat was still clearly visible.
Ms. Chen, 31, is from Zhanjiang, Guangdong Province. She married to Humen, Dongguan, and has been taking care of her children at home. Her husband does a little business. 'when outsiders heard this, they really felt incredible. At that time, the situation was so critical that I didn't think she could survive. "Ms. Chen's husband told reporters that the incident happened at about 6:00 p.m. on April 10, when her wife was cooking at home, she suddenly felt that her throat was blocked, as if there was a big bubble in her throat, which made her breathless.
According to Ms. Chen's recollection, at that time, she first pinched her fingers into her throat, but her fingers were too short to pick them up. Then she used chopsticks again, but the chopsticks were still not good. Finally, she picked up the spatula for cooking and poked the handle of the spatula directly into her throat.
When the spatula went down, Ms. Chen soon felt hard to breathe, her face flushed and she couldn't speak. "Fortunately, my 4-year-old daughter saved her wife. Seeing that her mother was upset, she went to press the elevator and took her mother downstairs to ask for help. The security guard called me back home. '
The spatula is in the chest
80% of the damaged esophagus should be cut off
Ms. Chen was rushed to Dongguan No. 5 people's hospital. The doctor's film showed that the handle of the whole iron pan shovel was in her chest, and her condition was serious. That night, Ms. Chen was transferred to Kanghua hospital. When the patient came to the hospital, only one spatula was left in his mouth, and the handle of the spatula had been inserted into the esophagus. Chen yubiao, a doctor in the Department of thoracic surgery of Kanghua hospital, said that the total length of the spatula was about 30 cm, and the diameter of the handle was about 2.5 cm. The whole shovel had been inserted into the esophagus. The esophageal epidermis and mucosa were seriously damaged, and a hole was pierced. "Moreover, the handle had been seriously squeezed into the lung, resulting in the right lung unable to expand normally. '
"Such cases, not to mention 100 years, are also 50 years. Xiao Pu, director of thoracic surgery at Kanghua hospital, said that the patient's condition was serious and the hospital immediately organized expert consultation. "The chest is full of large blood vessels. Once pulled out, it may cause massive bleeding and endanger life. "At 11:00 p.m., the doctor decided to carry out a primary operation for the patient, that is, the esophageal dilatation operation." we first pulled the spatula out of the esophagus. Because of the serious damage to the esophagus in the chest position, we had to remove it. '
According to the doctor, the total length of the esophagus is about 25 cm, and the patient has removed 20 cm. The resected part is mainly concentrated in the thoracic segment. The esophagus is only reserved to the neck and can only be exposed for medical treatment. Swallowing saliva and effusion are cleaned and replaced manually. '
There is still blood on the spatula
Stretch the stomach directly to the esophagus
Nandu reporter also took a picture of this spatula from Doctor Chen yubiao's mobile phone. This is the most common aluminum alloy spatula. The handle diameter of the spatula is about two centimeters, and there is still blood on the spatula.
"The spatula used for cooking must be dirty and there are a lot of bacteria. If the spatula is inserted into the chest, it must cause great pollution. It is very important to be able to withstand the infection after operation. "Chen yubiao said that infection occurred after the operation, but the patient survived.
The first stage operation is only life-saving, and the second stage operation needs to solve the problem of eating in the future. Last Wednesday, doctors performed esophagogastrostomy for the patient. Chen yubiao said that is to directly stretch the stomach to the neck and connect it with the esophagus. This is a common surgical method for patients with esophageal cancer. After recovery, they can eat normally. "If the recovery is not good after the first operation, the esophagus and stomach may not be connected. At that time, the mouth can no longer eat, and food can only be injected directly into the small intestine from the abdomen. '
Does the patient have mental problems?
No abnormality was found in the consultation
How could anyone be so ridiculous to poke the esophagus with a spatula? "At first, we doubted whether the patient had mental problems. "Xiao Pu said," experts from the Department of psychology in our hospital have also come for consultation, and no abnormality has been found in the patients. '
Is there a bulla in Ms. Chen's throat? Xiao Pu said that the surgeon examined carefully and found no blister at all. "So why did the patient suddenly feel a blister in her throat? We don't understand.".
Chen yubiao also reminded that once the public found unwell, they should go to the regular hospital in time, and the doctors should check and confirm, and do not use local methods to treat them.