Fish is a common household dish in every household, and the fact that you like to chat and watch TV while eating distracts you, leading to accidents where fish spikes get stuck in your throat every day. And after being stuck by a fish spike, the majority of people will be too much trouble, as long as they can carry over, generally do not want to go to the hospital. A few days ago, a middle-aged man in Hangzhou had a fish spike stuck in his throat, resulting in severe edema of the larynx, and slept until midnight due to edema of the larynx, resulting in severe asphyxiation. The company’s main goal is to provide the best possible solution to the problem. When eating roasted crucian carp, he was stuck with fish spines Mr. Zhang, in his early 40s, is in his prime. The company’s main business is to provide a wide range of products and services to the market. The company’s main business is to provide a wide range of products and services to the market. The company’s main business is to provide a wide range of products and services to its customers. It seems that there is a fish spike stuck in it. The wife picked up a chopstick and carefully fiddled with it a few times towards the mouth of Mr. Zhang’s throat to get the fish spike off. His throat still hurt, but the family didn’t pay much attention to it, thinking that the fish spike had fallen down. The family continued to eat and chat. At 11:00 p.m., the family went to bed. The fish spike stuck in the throat led to severe water in the throat in sleep suffocation triggered brain death At 1:00 am, the wife woke up from sleep and vaguely felt that her husband beside her was strange and gasping for air. Turn on the light and look, terrified, the husband’s face is purple, covering his chest, mouth gasping for air, breathing very difficult. The wife rushed to call her son over and sent her husband to the nearest Hangzhou Xixi Hospital from home. A look at Mr. Zhang’s situation, the emergency call for medical forces to resuscitate. “We broke open Mr. Zhang’s mouth to see, and found that he had severe laryngeal edema, the vocal cords were closed, he could not breathe and was in a state of severe asphyxia.” Director Zhang said the fish spike stuck in Mr. Zhang’s throat was about 1 cm long, and because of the severe swelling of the larynx, the spike could not be removed for a while, while the immediate task was to intubate the trachea and let Mr. Zhang breathe smoothly. “The larynx was so swollen that it was difficult to even insert a tube. After everyone’s efforts, the intubation was finally successful. After more than 1 hour of continuous resuscitation, his heartbeat was also pressed back. But unfortunately, due to the severe asphyxia, Mr. Zhang has been in a state of brain death. The day before yesterday, the family made a desperate decision to give up treatment. It’s so regrettable.” Director Zhang said with regret. A tiny 1 cm long fish spike killed a healthy middle-aged man. It really sounds a bit sensational. But in fact, in clinical practice, it happens from time to time that people are forced to open their chests and even die due to accidental swallowing of fish spines. A 30-year-old man did not have time to get on the operating table before he died from a fish spike that punctured a large blood vessel, causing hemorrhage “In 80% of the fish spike patients I treat, the spike is stuck in the lower tonsils, the root of the tongue, etc. Most of such fish spines are very thin and soft, with a length of no more than 2 cm. When swallowing, the throat becomes sore; only 20% of them fall into the esophagus, and in such cases, it is usually the larger fish bones that are often the most dangerous. It is also possible that the patient does not have a major reaction at the time until inflammation of the digestive tract occurs. Or even poke in the aorta, such as ‘esophageal aortic fistula,’ which is the most serious fatal complication of an esophageal foreign body. “Years ago, I had a patient, in his 30s, who got a relatively thick fish spike stuck in his throat. The fish spike entered the esophagus, penetrated the esophageal wall and punctured a blood vessel. I was about to operate on the patient when, unfortunately, before he could get to the operating table, a fatal hemorrhage occurred and the person was gone very quickly and very distressingly.” To save a fish-prick patient Last year, their hospital organized a consultation with eight specialists from eight departments to consult a fish-prick patient. It was a middle-aged woman who swallowed a 2.5 cm long carp spike while drinking fish soup. The fish spike poked in the esophagus and punctured the cervical aorta immediately above the esophagus, causing continuous bleeding. In order to save this patient, experts from the emergency department, anesthesiology, brain surgery, ENT, cardiac macrovascular surgery, quinturology, gastroenterology, and thoracic surgery all came out at that time. In order to stop the bleeding, Dr. Haifeng Cheng, deputy chief of cardiac macrovascular surgery, first performed stenting surgery on the patient and closed the damaged part of the aorta in the neck with a stent propped on the vessel wall, which made the bleeding end. After that, in order to remove the fish spike without hurting the esophagus, Director Pan Wensheng and his colleagues studied many methods together. The final solution was to deliver a special small plastic sleeve to the site of the fish spike with the help of a gastroscope and latch onto it. After the fish spike was removed, the fish spike was pressed into the small plastic sleeve in a smooth manner, and the sleeve was allowed to slide along the esophageal wall and into the stomach with the fish spike. Eventually the fish spike was digested by the gastric juice and the plastic sleeve, in turn, was taken out with a gastroscope. Every day, we encounter patients who come in to have their fish spines removed. Especially after dinner, the emergency room sees a small rush of fish-prick extractions. Li Yong, director of the ENT department, says that from his clinic, he receives more than 20 cases of fish-prick patients every day, and more than 40 cases at times, with more than 100 cases every month. Fish sticks occur at any age, and there is no obvious seasonality. The number of fish sticks in the throat is relatively high during the holidays when there is a lot of socializing. Most of these stuck fish spines are carp spines. Why can even a small fish spike be fatal? Dr. Lu Xinliang, deputy director of the Department of Gastroenterology at the Second Hospital of Zhejiang Province, said that there are three narrow places in the human esophagus. Most often, the fish spike is stuck in the first narrow part of the esophagus, which is the entrance to the esophagus. When swallowing, it is painful near the esophagus and causes difficulty in swallowing; the second stricture, which is about 7 cm after the entrance, is the most dangerous place. Because the aortic arch is attached to the outside of the esophagus here, once a fish spike punctures the esophageal wall, it can cause fatal hemorrhage; the third stricture, which is the esophageal exit, is less common. Most of the fatal cases are caused by arterial rupture and hemorrhage due to puncturing the esophageal wall. There is also the possibility of death by asphyxiation due to a large fish spike embedded in the vocal cords. There are relatively few cases of asphyxiation due to laryngeal edema like Mr. Zhang above. Swallowing is the most important thing! Spit, is the right solution Li Yong director said, after being stuck by a fish spike, many people like to use native first aid, such as drinking vinegar, swallowing rice balls, swallowing steamed buns, swallowing vegetables, drinking a lot of water, etc., all want to use the action of “swallowing” to force the fish spike down. In fact, the action of “swallowing” is the most undesirable! Swallowing fish spikes may lead to deeper insertion of fish spikes, and can also damage the throat causing infection and pus, inflammation and redness. Drinking vinegar cannot soften the fish spike and fish bone. Some vinegar concentration is too large, and it will also burn the mucous membrane of the mouth, throat and esophagus, leading to narrow adhesions in the esophagus. After getting stuck to the fish spike, stop all swallowing diet, don’t even drink water and relax the throat. Director Li Yong suggests that you can use your fingers to pick at your throat to produce a feeling of nausea and vomiting to get the fish spike out. One prerequisite here is that you are sure that you are swallowing a small, soft fish spike. This superficial foreign body in the throat can sometimes be expelled through saliva and vomit. However, if you swallow a large fish spike, you must go to the hospital quickly. If you have a fish spike in your throat, you can go to the emergency department if it is an emergency, and the emergency department of a large hospital usually has an ENT doctor. For less urgent cases, you can go to the ear, nose and throat clinic. The treatment process is to press the front of the tongue with a tongue depressor to expose the tonsils. A flashlight is used to look at the root of the tongue, the tonsils, and the back wall of the throat. If a fish spike is seen, it is slowly removed with tweezers. Sometimes anesthetic is used. If the fish spike has entered the esophagus and is difficult to detect with the naked eye alone, an esophagoscopy may be necessary. If the fish spike has been stuck in the throat for a long time and the throat and esophagus are already red and swollen, you must wait for treatment to reduce inflammation and swelling before removing the fish spike. It is recommended that you do not remove the fish spike by yourself and try to seek medical attention in time. It is recommended that you develop good eating habits and talk as little as possible while eating. Most cases of fish spikes in the throat occur when you are in a hurry to eat, watch TV, chat and other times when you are not concentrating. [solemn reminder] throat pain, and accompanied by a small amount of signal vomiting blood, etc. is the pre-symptom of foreign body in the esophagus To avoid foreign body stuck in the throat, Yan director suggested that the following matters should be noted: regardless of the occasion, when eating should be chewed slowly, avoid wolf swallowing, high talk, because chewing and swallowing when uncoordinated prone to foreign body stuck in the throat, especially in the case of drunkenness, more to avoid eating meat with bones, but choose If you have few teeth, or wear dentures in the elderly, nasopharyngeal surgery and radiation therapy, you will not feel sensitive when eating, so it is easy to swallow by mistake, you should pay attention when eating, you can first pick out the fish spines or bones, or cut the food into fine pieces before eating, chew fully when eating; if you accidentally swallowed a bone or fish spines, do not try to swallow a mouthful of rice, drink a few mouthfuls of vinegar or chew steamed buns will If you accidentally swallow a bone or fish spike, you should not try to swallow a mouthful of rice, drink a few sips of vinegar or chew a steamed bun to bring down the foreign body. The right thing to do is to cough up the foreign body, and if not, go to the otorhinolaryngology department to have the foreign body removed with special forceps and laryngoscope. Preliminary symptoms of foreign body in the esophagus include sore throat, chest pain, and a small amount of signal vomiting blood, once this happens, you should go to the hospital quickly and remember to explain to the doctor that you have a history of swallowing foreign bodies to help the doctor make the right judgment and prevent serious complications. In severe cases, open-heart surgery is required to remove the foreign body.