近日,扬州 13 个月大的男童小明(化名)被家人紧急带至苏北人民医院就诊。原来,他不小心误吞了一颗 2
厘米长的螺丝钉。医护人员花费 8 小时时间,最终将这颗尖锐的钉子取出。6 月 23 日,苏北人民医院公布了这一病例的详情。

△小明在接受治疗
" 前两天下午 5 点左右,孩子被送到了医院来。"
内镜诊治中心护士于芬回忆,孩子被送来时,家长十分焦急。根据家长叙述,大家知道了事情的发生经过。由于家中在装修,因此有一些装修材料散落在家里各个角落,正在小明玩耍时,家人发现他似乎往嘴里放了什么东西,再一检查,他面前的螺丝钉少了一颗,于是赶紧来到医院。
" 拍了片子看到孩子胃腔里果然有一颗钉子,很尖锐。"
一般来说,治疗需要用内窥镜,可是做内窥镜需要不断充气将胃腔撑开,而孩子的胃容积小,一旦充气,螺丝钉就会下滑,加上孩子呼吸和血氧度不稳定,情况很危急。为了万无一失,医护人员决定先进行观察,等待其胃内食物排空再进行手术。

△小明在接受治疗
第二天凌晨 1 点左右,小明被送进了手术室。"
如果不取出来,黏膜肯定是会划伤的,经过蠕动有可能是滑到小肠进入肠腔里面,因为螺丝钉的尖端是比较尖锐的,可能会划伤肠黏膜,造成穿孔出血。经过不懈努力,用圈套器圈住了。"
两点左右,距离患儿误吞螺丝钉约 8 小时后,螺丝钉被完好取出,小明转危为安。
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