Let me tell you an embarrassing story about me back then. Some friends may think: Dr. Luo also had something embarrassing? ! Yes, I have a lot of embarrassing things. Sometimes, I am also a fool. That year I came to Beijing and was preparing to take the national examination for doctoral admission. For convenience, I lived in a hotel on the campus of Beijing University of Traditional Chinese Medicine. When I was having dinner, I ordered food by myself, thinking: I will take the exam tomorrow. Let me add Nutrition, just ordered a fish.
I didn't think much about it at the time. When the food came, I ate the fish excitedly. As a result, before I finished eating, a fish bone stuck in my throat.
The next time was sad, this fishbone was really stubborn, no matter how much I coughed or tossed, it would not come out. Every time I swallowed, it would sting a bit, which made me have a psychological shadow when I swallowed the saliva!
what to do? No way, so I hurried to the emergency department of the China-Japan Friendship Hospital next door. There is an ENT department there, and I explained the situation to the female doctor. The doctor searched carefully under the light, and when he found it, he took it out with tweezers. I felt so happy at that time!
In this way, I successfully took the exam the next day and passed the exam. However, this fish bone thing has always impressed me.
So why am I telling this story? I want to tell everyone that pricking fish bones should not be thought of as a trivial matter. There are many problems here! Some friends will say: I thought you were going to talk about the wonderful method of Chinese medicine for removing fish bones, but why do you go to the hospital to pull out fish bones yourself? Yes, it seems that this matter really needs to be discussed.
According to the data, in various hospitals, more and more people come to see a doctor because of fishbone sticks. In the emergency department of Zhejiang Medical Second Hospital, the number of fishbone patients has increased year by year in recent years. 1442 cases were admitted in 2011, 2257 cases in 2012, 2543 cases in 2013, and 3281 cases in 2014.
Later, I asked the emergency department of Beijing Tongren Hospital, and they also received dozens of patients who were stabbed by fishbone every night.
So, is it dangerous to get a fishbone?
Of course there will be, and you may not think that if it is not handled properly, it will be life-threatening! According to news reports, Mr. Zhang, a middle-aged man in Hangzhou, ate crucian carp at home. A one-centimeter-long fishbone stuck in his throat. As a result, his wife heard him making strange noises at night. Turning on the light, he found that he could no longer breathe. It turned out that he had developed laryngeal edema and suffocation. . As a result, Mr. Zhang was sent to the hospital. Although he was rescued, he died of brain hypoxia. Until his death, the fishbone could not be pulled out.
However, more danger comes from the fishbone puncturing the esophagus.
Generally, the most common thing is that the fishbone gets stuck in the first stricture of the esophagus, which is the entrance of the esophagus. At this time, when you are stabbed, when you swallow, you will feel pain in the throat, difficulty swallowing, and it is more uncomfortable, but the fishbone is easier to remove; the more dangerous place is about seven centimeters behind the entrance, where the esophagus is attached to the aortic arch. After being pierced, many people have to eat steamed buns and choke down, hoping to flush the fishbone down, but after exerting force, once the fishbone pierces the esophageal wall, it may cause fatal hemorrhage. Most of the death cases of patients come from this reason, many Emergency doctors will have encountered such rescue cases.
So, we must not underestimate this fishbone.
So, let's take a closer look, why do we stick fishbone?
The main reason is because I didn't concentrate when I was eating. Many people talk while eating or watching TV, but they don't pay attention to the fishbone. In addition, there is another secret, that is, when eating fish, it is best not to eat other foods at the same time. This is what I learned from friends who live by the sea. They are rarely stabbed. The reason is that when they were young, adults told them to eat fish , just eat fish and don’t have other food in your mouth. Then develop the habit of slowly removing the fishbone.
In addition, it is best to use cooking methods to make the fishbone soft and rotten as much as possible. If there are old people and children, be sure to choose fish with fewer fish bones and easier to remove.
So, what should you do after being stabbed with a fishbone? Ordinary people usually say that eating steamed buns and vegetables and choking on it, is it useful?
Friends must remember that swallowing is the worst way.
Why is this method bad? That’s right, swallow. Sometimes, some soft and small ones are not pierced so deep, and they will be taken down. However, there are other parts that will be pierced deeper the more you swallow, which will cause throat pain. Infection and purulence create obstacles for the next step of treatment, so this is a risky method.
Sometimes, the swallowed fishbone will cause trouble in other places. There have been such cases where the fishbone followed the digestive tract and finally stayed in the anus, causing infection.
Therefore, the most important thing to do at this time is to cough out. Through this method, some of the shallow fishbone will be coughed out.
Some friends asked, then, is the method of eating a little jealous that we ordinary people talk about okay?
In fact, this method is not very effective, because the vinegar stays in the esophagus for a short time, and basically has no effect.
So, how to deal with it at this time?
The steps are as follows:
1 Smaller fish bones can be coughed out if you cough. If it tingles, ask a family member or friend to light the oropharynx with a flashlight and use a small spoon to press down on the back of the tongue. Carefully check the isthmus, mainly on both sides of the entrance to the hypopharynx, because this is where fish bones are most likely to get stuck. If you find that the spine is not big and does not penetrate deeply, you can use long tweezers to remove it.
2. If you can't see the fish bone with a flashlight when you open your mouth, or if you can't confirm it, don't think too much, go to the hospital emergency department immediately, find an otolaryngology department, and ask a professional doctor to handle it. This is the best and most reliable option.
Some friends will ask: Dr. Luo, I thought you would tell us some traditional Chinese medicine method to let the fishbone go down!
I replied, I'm really sorry. I haven't found such a reliable secret recipe that can 100% guarantee the safety of patients. This otolaryngology department removes fish bones, regardless of Chinese and Western medicine. It is based on anatomy. Borrowing various equipment to help patients does not necessarily separate traditional Chinese medicine from western medicine.
3. If no fishbone can be found in the emergency department of a general hospital, you need to use equipment, such as an endoscope. Specifically, it should be a laryngoscope. It is very thin. Don’t be afraid. The fishbone is stuck in the front wall of the esophagus. When we look in through the open mouth, we often see the back wall and both sides, while the front wall is a blind area (you can imagine that you are one meter away from the mouth of the well, and you can look into the well. Where to see), the endoscope can help at this time, and under the guidance of the endoscope, it can be taken out smoothly. If there is no such equipment in the ENT emergency department of a general hospital, you need to go to a local hospital that is good at ENT.
For example, in Beijing, many hospitals refer to the emergency department of Tongren Hospital every night, and many of them have such "difficult and miscellaneous diseases".
4 Sometimes the fish bones have fallen off, but the feeling of the fish bones is still there because of the damage. So you have to wait and observe. If you gradually recover, there will be no problem. If you still feel unwell, you have to go to the hospital for a doctor's diagnosis and treatment.
To sum up, when eating fish, it is most important to concentrate and remove fish bones. Once a fishbone is stuck, if the bone is not coughed up within a few minutes, an emergency ENT is the best option. This is the safest and reasonable choice, and the professional skills of doctors will help you at this time.
But remember, when you go to the hospital, you must be relaxed and not excited. You must trust and cooperate with the doctor. Now the emergency room is the hardest hit area for doctor-patient conflicts. My readers, don't be a destroyer of the doctor-patient relationship!
