Three month old boy vomited and died in six days because his 3-year-old sister fed soybeans

A three-month old baby boy who could only suck vomited for six consecutive days for unknown reasons. After he was sent to the hospital, the surgeon took out a bean from his esophagus, and the bean was about to sprout. Recently, at the Children's Hospital affiliated to the University of Jiangsu, this "incident" shocked the "well-informed" doctors of facial features! It is understood that the perpetrator is the baby's three-year-old sister. It turned out that, out of love for her brother, the three-year-old sister took advantage of her parents' carelessness to feed her brother soybeans, which finally got stuck in the esophagus.

　　 A 3-month-old boy takes out a soybean in his esophagus

"Doctor, doctor, please help me look at the baby!" At about 8:00 p.m. on November 21, a young mother rushed in with a foaming baby boy in her arms in the emergency room of the ENT Department of the Affiliated Children's Hospital of Jiangsu University. According to the mother of the baby, the boy was only 3 months old. I don't know why. He began to vomit 6 days ago. He also went to many hospitals and didn't get well.

Fan Mingyue, the baby boy's surgeon, told the Yangzi Evening News that at first, the baby boy's mother thought that the baby might have caught a cold. But many days have gone by and it hasn't been good. "Because the baby boy had been immunized, parents had once guessed whether it would be related to immunization allergy." In order to find out the cause of vomiting, the doctor advised parents to do a CT examination. It was found that the upper end of the child's esophagus was very swollen, and there was a vague shadow in the middle and lower part of the esophagus, as if something was stuck in the esophagus. Fan Mingyue, the chief physician of the ENT department, rushed to the hospital immediately and, with the support of relevant departments and colleagues, performed esophagoscopic surgery on the baby boy. After 40 minutes, Dr. Fan Mingyue and his colleagues took out a whole soybean and several pieces of broken apple peel. "Our children's hospital receives nearly 300 emergency children due to foreign bodies in the trachea and esophagus every year, but it is the first case that the whole soybean and apple peel are taken out from the esophagus of a three-month old baby who can only suck."

Fan Mingyue told the Yangzi Evening News that it was this soybean that blocked the boy's esophagus six days ago. All the food was blocked in the esophagus and could not enter the stomach because of the soybean. From CT, the obstruction is about two or three centimeters wide and about 10 centimeters long. Since soybeans have been in the esophagus for at least 6 days, soybeans have nearly doubled the size of their water absorption, which is almost the size of one of his small fingers. "It seems that they are about to sprout." After about two or three days of follow-up treatment, the boy recovered quickly and has been discharged from hospital.

　　 3-year-old sister learns to feed her brother, and "good" does bad things

The boy's family said that although they did have soybeans at home, they had never fed the boy nuts like melon seeds and peanuts, let alone soybeans. After some further communication, the boy's family learned that it was the 3-year-old sister who, out of love for her brother, learned to feed his brother apple peel, apple puree, etc. and soybean when his parents were not paying attention. As a result, the soybean finally got stuck in the esophagus, causing the baby to vomit. Fan Mingyue said that thanks to the CT, it was discovered early. "If these things fed by the sister enter the child's trachea, the consequences may be fatal."

In this regard, the doctor reminded that with the gradual liberalization of the second child policy, parents with two treasures must pay attention to the "love injury" of the eldest child to the second child. Coincidentally, Fan Mingyue told the Yangtse Evening News that he had also received a baby boy who swallowed a thumbtack by mistake, which was fed by his 5-year-old sister. "According to our later inquiry, it was the boy's sister who wanted to see what his brother could eat out of curiosity."

　　 The 3-year-old doesn't know what's safe or unsafe

　　 Parents should set an example and look after the two children

"Generally speaking, even if you eat rice noodles and other liquid substances, it will be four months later. But three month old babies usually drink milk and milk powder." Fan Mingyue said that at the beginning, in addition to soybeans, apple peel was also found in the boy's esophagus, indicating that the boy's family also had some problems in feeding the baby. "The children are so small, but they have already started to feed them apple peel and apple puree. This is definitely wrong. We immediately educated and guided them."

So, how to prevent similar events? Fan Mingyue said, of course, the first thing is to strengthen safety education for children. Parents should set an example in daily life, develop a good and correct way of life, and let children realize that what they do is right and what they do is wrong. Secondly, for infants under 1 year old, parents must allow their children to be in their own sight at any time and anywhere, so as to fully monitor and leave no blind spots. Especially those who have two treasures at home, and Dabao is under 5 years old. "A 3-year-old child doesn't even know what is safe and what is unsafe. However, children at this age have a strong ability to learn to imitate, awareness and curiosity. If the supervision is not good, it will not only be more harmful to themselves, but also to younger brothers and sisters."

Fan Mingyue also reminded that once the child has cough symptoms for a long time and can't be cured for a long time, it should consider doing CT to check whether the esophagus and trachea are blocked by foreign bodies. "When many parents see a child coughing, they often think it is pneumonia caused by a cold and fever." Fan Mingyue told the Yangzi Evening News that he had once treated a child who coughed for a year. He thought it was bronchitis caused by a cold. Finally, after CT examination, it was confirmed that a melon seed was blocked in the trachea.

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　　 Two Ways to Deal with Foreign Bodies in Children's Esophagus and Trachea

Once the child choked on his trachea and esophagus by foreign bodies such as melon seeds and peanuts, how should he deal with it? Fan Mingyue said that if the child is relatively young, he can lift his ankle, make the child stand upside down in the air, and then slap his chest and back with his palm to beat out the foreign body. If the child is older, let the child lie on his back and press the abdomen and chest with his palm to squeeze out the foreign body. "Of course, these are simple first aid methods, which are the initial emergency treatment in an emergency. Once the child has the above situation, he or she should be sent to the hospital in time for professional examination and treatment."

Correspondent Qian Liping All media reporter Xue Mayi of Yangtze Evening News