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<script>/*jQuery('#hh').width(jQuery('#a').width());*/</script> <div id="i2i2jyu4k" class="Remark"> <span>2017年12月05日 14:04 | 来源：<a target="_blank">广州日报</a></span> <span id="i2i2jyu4k" class="fr"> <div id="i2i2jyu4k" class="bdsharebuttonbox"><a href="#" class="bds_more" data-cmd="more"></a><a href="#" class="bds_qzone" data-cmd="qzone" title="分享到QQ空间"></a><a href="#" class="bds_tsina" data-cmd="tsina" title="分享到新浪微博"></a><a href="#" class="bds_tqq" data-cmd="tqq" title="分享到腾讯微博"></a><a href="#" class="bds_renren" data-cmd="renren" title="分享到人人网"></a><a href="#" class="bds_weixin" data-cmd="weixin" title="分享到微信"></a></div> <script>window._bd_share_config={"common":{"bdSnsKey":{},"bdText":"","bdMini":"2","bdMiniList":false,"bdPic":"","bdStyle":"0","bdSize":"16"},"share":{}};with(document)0[(getElementsByTagName('head')[0]||body).appendChild(createElement('script')).src='http://bdimg.share.baidu.com/static/api/js/share.js?v=89860593.js?cdnversion='+~(-new Date()/36e5)];</script> </span><span id="i2i2jyu4k" class="fr">分享到：<img src="/images/fx.jpg" /> </span> </div> <div id="i2i2jyu4k" class="text_box"> <p align="center"> <div style="text-indent: 2em; text-align: left;"><p style="text-align:center"><img src="/upload/resources/image/2017/12/05/2066013.jpg" title="1383541646877717605" alt="1383541646877717605" suffix="jpg"/></p><p style="text-indent: 2em; text-align: center;">取出来的小熊长约2厘米。图/广州日报全媒体记者汪万里</p><p style="text-indent: 2em; text-align: left;">近日，一对年轻的父母带着一名6岁的男童来到东莞市儿童医院就诊，他们告诉医生，孩子的鼻子老是流鼻涕，以为是感冒，但怎么也治不好，而且，最关键的是，孩子的鼻子还发臭，不知道是怎么了。</p><p style="text-indent: 2em; text-align: left;">东莞市儿童医院主治医师陈毛毛为孩子做了检查后找到了“罪魁祸首”，孩子的鼻子深处好像有异物，但是位置太深。马上安排住院，当天下午在全麻状态下进行了手术，取出了两个花生米大小的不规则石块。</p><p style="text-indent: 2em; text-align: left;">父母回忆，可能是孩子两岁时自己不小心塞进去的。陈毛毛说，他们每个月接诊近20例往嘴鼻塞异物的患儿，其中近一成的患儿就必须全麻手术取出?！跋不堵页月胰亩嗍?岁到3岁左右的儿童，家长一定要注意”。</p><p style="text-indent: 2em; text-align: left;"><strong>案例1</strong></p><p style="text-indent: 2em; text-align: left;"><strong>6岁男童老是流鼻涕</strong></p><p style="text-indent: 2em; text-align: left;">6岁的小军（花名）长得很帅气，在幼儿园时表现也非常好，老师经常表扬他。父母眼看着孩子这么乖巧，心里也是美滋滋的。唯一让他们感觉有点遗憾的是，孩子似乎身体有点弱，老是流鼻涕。</p><p style="text-indent: 2em; text-align: left;">前两天，天气忽然转冷，小军的鼻涕更多了，而且不少是浓鼻涕，散发着臭味。孩子父母说，以前也找医生看过，都以为是感冒，但吃了药后，过一阵又流鼻涕了，没办法，只能继续吃药。总以为会好的，但就是好不了。</p><p style="text-indent: 2em; text-align: left;">这次，到东莞市儿童医院就诊时，他们以为孩子也只是感冒。不过，坐诊的医生陈毛毛检查了小军后，又详细询问了父母孩子这几年来反复感冒的症状，他觉得还有问题。他让孩子躺下，用手电筒照进孩子的鼻孔，隐隐的看到鼻腔深处有异物。</p><p style="text-indent: 2em; text-align: left;">陈毛毛让孩子的父母也看到了，这下他们明白了，原来就是鼻子里的异物在作怪，让孩子这么难受。发现了异物，怎么取出来？陈毛毛试着想直接取出，但异物实在太深只能在当天下午，实施手术取出。</p><p style="text-indent: 2em; text-align: left;">最终，陈毛毛医生从小军的鼻子里取出了两个花生米大小不规则的石块，石块上包裹着血迹。这让陈毛毛自己也觉得有些不可思议，“鼻子里塞着这两个家伙，不要说孩子了，就是大人也受不了”。</p><p style="text-indent: 2em; text-align: left;"><strong>案例2</strong></p><p style="text-indent: 2em; text-align: left;"><strong>3岁女童吞了“小熊”</strong></p><p style="text-indent: 2em; text-align: left;">而就在一周前，陈毛毛还诊治了一名3岁的女童，孩子好奇贪玩，把衣服拉链上那个装饰物小熊吞到嘴里了。孩子的妈妈发现女儿衣服拉链上的“小熊”不见了，就问孩子，女儿说是她吃了。家长就赶紧带着孩子到镇街医院检查。</p><p style="text-indent: 2em; text-align: left;">不过，在镇街医院拍了胸片，却没有发现异常情况。于是父母就带孩子回家了，以为“小熊”是丢在了别的地方?？墒?，这之后的三天孩子却怎么也不肯吃东西。爸爸拿了块吸铁石在女儿脖子上吸了下，竟然感觉被吸住了，这次他们赶紧带着孩子到了东莞市儿童医院。</p><p style="text-indent: 2em; text-align: left;">陈毛毛说，他在门诊X线检查，提示孩子食道入口有异物，马上给孩子办理了入院手续。当天下午就做了手术，长约2厘米的“小熊”终于找到并被取了出来。</p><p style="text-indent: 2em; text-align: left;"><strong>医生：</strong></p><p style="text-indent: 2em; text-align: left;"><strong>每月接诊近20例患儿吞塞异物</strong></p><p style="text-indent: 2em; text-align: left;">小军的父母说，鼻子里的两个石块应该是孩子两岁左右时自己塞进去的，那时孩子放在清远老家，由爷爷奶奶带，老人可能没注意到，孩子自己把石块放进去后又忘记取出来，就这样让石子留在了小军的鼻子里4年。</p><p style="text-indent: 2em; text-align: left;">陈毛毛医生说，吞塞异物的孩子确实绝大部分都是2岁到3岁左右，这个年龄对什么都很好奇，都想摸摸，都想塞到嘴里，大人一不注意，就不知道孩子吃下了什么东西。</p><p style="text-indent: 2em; text-align: left;">不过，陈毛毛说，像孩子塞异物进鼻腔的，家长多加留意就可发现症状?！叭绾⒆永鲜且桓霰强赘芯醣侨?，还经常有鼻涕，更重要的还发臭，那百分百是有异物进了鼻子了，得赶紧就诊”。</p><p style="text-indent: 2em; text-align: left;">陈毛毛告诉记者，现在东莞市儿童医院每月差不多要接诊近20例吞塞异物的孩子，一年下来近300例，其中近一成的小患者必须实施全麻手术取出异物。而熊孩子们吞下的异物，有笔帽、矿泉水瓶盖、硬币，甚至还有螺丝钉。</p><p style="text-indent: 2em; text-align: left;"><strong>提醒：</strong></p><p style="text-indent: 2em; text-align: left;"><strong>孩子误吞异物要及时就诊</strong></p><p style="text-indent: 2em; text-align: left;">实际上，不但是东莞市儿童医院有不少儿童吞塞异物的病例，在东莞市妇幼保健院、康华医院等医院，这样的病例也不少。一年下来，整个东莞这样的病例数目惊人。</p><p style="text-indent: 2em; text-align: left;">东莞市妇幼保健院耳鼻咽喉头颈外科医生王远明说，他们科室一年能接诊一两百例被异物卡到喉咙的孩子。根据多年来临床手术取出异物统计，常见异物为鱼刺、鸡骨、猪骨、硬币、图钉、螺丝、纽扣电池、塑料瓶盖、核桃等，多为孩子口内含物的不良习惯引起。</p><p style="text-indent: 2em; text-align: left;">儿科专家提醒，如果发现孩子误吞异物，切忌自行吞服饭团、馒头、韭菜等食物，以免加重损伤，增加手术困难，应及时就诊，尽早明确诊断、取出异物，对防止并发症的发生有重要意义。食道异物若不及时治疗，可引起严重并发症，如：食道穿孔、气管食管瘘、大血管溃破等，严重者会危及生命。（记者汪万里）</p><center style="text-indent: 2em; text-align: left;"><table align="center" width="628"><tbody><tr style="padding: 0px;" class="firstRow"></tr></tbody></table></center></div> </div> <p class="Editor">编辑：赵彦 </p> <div id="i2i2jyu4k" class="Paging"> 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