Pull out 500 fish stings a month! Aunt Fuyang opened her chest to take a sting to save her life, all blame a bowl of pickle fish!

Aunt Zhang, 66 years old, is a fuyang people in Hangzhou, living in the river, she saw red-burned fish, pickle fish can not move their feet.
in August this year, Aunt Zhang ate lunch, felt the hoe too dry in the throat, then picked up pickle fish soup to drink a few mouthfuls.
Then felt a sting in the throat, it seems to be stuck by the fish sting, Aunt Zhang at that time ate a few mouthfuls of bread, "Mom, so that the fish can sting down, do you want to go to the hospital to see."
," the daughter asked with concern.
"It doesn't matter, I have experience, I've been stuck by fish before."
" said, Aunt Zhang swallowed a few mouthfuls of bread, then felt the pain relieved some, then did not care about it.
week, Aunt Zhang suddenly felt blunt pain in her chest and back, and the symptoms worsened day by day, and rushed to the local hospital.
asked Aunt Zhang to recall: "Have you had anything to eat recently?" "She thought for a little and said, "No... It was a while ago when I ate fish soup that I was stuck with fish stings.
"Is this fish sting still in there?" Aunt Zhang asked the doctor worriedly.
Doctor recommended aunt Zhao to do a chest CT, chest CT shows that her esoptodon side of the vertical tube has a high density of strip shadow, combined with Aunt Zhang said the medical history, the doctor highly suspected that the fish pierced the esophoosis, suggested that she review the chest enhancement CT again, found that the fish sting close to Aunt Zhang left pulmonary artery trunk, suspected to have broken the blood vessel wall, if the pulmonary artery is likely to lead to the patient's haemorrhage to death, "this fish sting must be taken out immediately, otherwise the pulmonary artery rupture, the consequences can not be imagined, but the surgery is too difficult, we dare not do, need to be immediately transferred to a higher hospital."
" situation is critical, the local hospital doctors recommended that patients immediately transferred to Zhejiang University Medical College affiliated with the first hospital for treatment.
stuck between the esophoosis and pulmonary artery of life-threatening fish sting multidisciplinary consultation to discuss the diagnosis and treatment plan Zhejiang University Hospital emergency surgery received Aunt Zhang, immediately realized the seriousness of the patient's situation, quickly contacted the thoracic surgeon on duty doctor Tang Jie attending physician, Tang Jie to the patient After the evaluation of the situation, the patient was given pulmonary angioscopic CTA, the vascular structure and the location of the fish puncture for three-dimensional reconstruction, the results showed that the patient fish pierced the esophoosis, very close to the left pulmonary artery trunk, considering that it is likely to have penetrated the pulmonary artery blood vessels, the situation is very critical.
3D reconstruction of pulmonary arteries, taking into account the patient's critical condition, immediately reported the situation to the deputy director of thoracic surgery, Dr. Tu Zhengliang.
, the chief physician of the hospital, believes that the patient's esopathic foreign material diagnosis is clear and requires surgery.
because of the special location of the fish sting, once before surgery or before the operation to block the blood vessels, rupture bleeding may lead to bleeding death.
at the same time, it is possible that the sting will further pierce the blood vessels, into the blood circulation system, resulting in vascular embolism and serious blood flow infections.
in order to ensure the safety of patients, he suggested contacting vascular surgery, in vitro circulation groups, anesthesiology department for multidisciplinary discussions, and then determine specific treatment options.
based on the results of the patient's pulmonary artery CTA (angiosis), vascular surgeons believe that if a fish puncture punctures the left pulmonary artery trunk, it is difficult to maintain vascular integrity by placing an in-blood vessel stent in an interventional manner.
At the same time due to the risk of blood vessel rupture haemorrhage, if the use of minimally invasive technology, it is difficult to effectively stop the bleeding in the first place, the final experts discussed the decision, emergency surgery thoracic examination, while the cardiac surgery in vitro circulation team in the operating room on standby, once the blood vessel rupture haemorrhage and other conditions, timely in vitro circulation.
In vitro circulation standby chest examination to remove the fatal fish sting surgery program was determined, the operation immediately began, by the chief physician of the chief physician knife surgery, Dr. Tang Jie as an assistant, although the atmosphere is tense, but the whole process is orderly, open the patient's left chest cavity, Tu Zhengliang first carefully left the left pulmonary artery trunk free, at the near end of the heart with blocking pliers to block blood vessels, to prevent accidental bleeding during the operation.
, Tu Zhengliang carefully dissected the shin, finely dissected the gap between the left pulmonary artery and the esophora, to find traces of fish stings.
results of the preoperative CT, according to the location of the preoperative CT prompt, found the fish sting has been wrapped in inflammatory tissue.
Surprisingly, although the sharp end of the fish sting is firmly on the left pulmonary artery trunk, it has not yet fully penetrated the blood vessel wall, and the depression of the blood vessel wall has led to the appearance that the fish sting has penetrated the blood vessel wall in previous examinations.
butcher carefully removed the 4cm hard fish sting, carefully examined and stitched the esophoire, thoroughly rinsed and disinfected before ending the operation.
this time, the doctor in the operating room was relieved.
surgery to remove the fish sting, troubled Aunt Zhang for many days chest and back pain finally disappeared, "it is this 4cm long fish sting that you suffered such a great sin ah!" It's almost life-threatening! Tu Zhengliang said to Aunt Zhang.
thank you doctor ah, after eating fish must be careful, this lesson is so big.
" Zhang thanked the doctor non-stop, a few days later Aunt Zhang was successfully discharged from the hospital.
January received nearly 500 cases, eating fish card to sting this action must not be according to Zhejiang University Hospital otolaryngology director Zhou Shuihong introduced, ear, nose and throat department can receive nearly 20 cases a day so eat fish card to sting patients, a month to receive nearly 500 cases.
And like Aunt Zhang is stuck by fish stings need to be taken out of the chest is relatively rare, butchers said that a year of general thoracic surgery will also receive a case or two, more important is to eat fish must develop fish stings after must not do swallowing action, fish sting throat blind treatment, it is likely to lead to fish puncture through the esophora and even the aorta caused extremely dangerous situation.
If you accidentally swallow fish stings and other foreign objects, should stop eating, do not panic, do not listen to other people's so-called "earth methods", through drinking vinegar, eating, swallowing vegetables and other methods hope to bring foreign objects into the stomach, and with food digestion together excreted.
this can cause irregular or sharp foreign objects to be inserted deeper into the esother or even into the aorta or stomach, causing varying degrees of bleeding, perforation and other serious complications.
, it is recommended to swallow a suspicious foreign object should be timely medical treatment, Chemo blindly "autonomous."
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