Xinhua News Agency, Shenyang, July 23 (Reporters Li Zheng and Bao Yuhan) Esophageal perforation, mediastinal abscess, infectious thoracic aortic aneurysm rupture, massive hematemesis until hemorrhagic shock... Recently, the First Affiliated Hospital of China Medical University received treatment A critically ill patient caused by swallowing chicken bones was discharged smoothly. Experts remind that the esophagus connects the mouth and the stomach, and there are organs such as the heart, aorta, and trachea in the thoracic mediastinum. Once a foreign body gets stuck in the esophagus, it is extremely dangerous. If this happens, you must seek medical attention as soon as possible.
In May of this year, 46-year-old Mr. Gu swallowed chicken bones while eating at home. He didn't take it seriously at first, but after ten days, he vomited blood in the mouth and appeared bloody stools. When he was sent to the hospital, he was in critical condition. After receiving the consultation, the First Affiliated Hospital of China Medical University quickly organized a consultation and was diagnosed with a foreign body in the esophagus, accompanied by severe esophageal perforation, mediastinal abscess, ruptured thoracic aortic aneurysm, aortic esophageal fistula, esophagotracheal fistula and other diseases.
"Esophageal foreign body itself is a common case in the emergency department of thoracic surgery, but it is rare to have so many serious complications at the same time. In the past similar cases, the mortality rate of patients is extremely high." Xu Xu, director of thoracic surgery department of the First Affiliated Hospital of China Medical University By the way.
In response to this difficult problem, the Thoracic Surgery quickly organized a multidisciplinary team such as vascular surgery, gastroenterology, interventional medicine, and anesthesiology to finalize the surgical plan. After repeated communication with the patient’s family and obtaining consent, the patient was stepwise implemented vascular stent placement. Into surgery, thoracoscopic removal of mediastinal abscess surgery, and esophageal stent placement with silicone membrane.
Xu Shun reminded that in order to prevent foreign bodies from getting stuck in the esophagus, you can take small mouthfuls when eating, and pick out sharp objects such as bones and thorns before entering the food with bones. People who wear dentures should pay more attention when eating, because dentures have many metal hooks for fixing, which can easily cause secondary injuries after they enter the esophagus by mistake.