Tracheal and esophageal foreign bodies

Introduction to tracheal and esophageal foreign bodies Esophageal foreign bodies often occur in young children and the elderly lack of teeth, often due to play in the mouth, eating too fast, swallowing, the old man's dentures feel chewed when chewed, or loosened dentures when sleeping, and swallowed to form esophageal foreign bodies. It often causes difficulty in swallowing, difficulty breathing, coughing, etc. If you fail to take effective measures in time, you may die as a result of suffocation. Esophageal foreign bodies often occur in young children and the elderly lack of teeth, often because of the contents of the mouth to play, eating too fast, swallowing, the old man's dentures feel chewed when chewed, or loosening dentures when sleeping, and swallowed to form esophageal foreign bodies. The vast majority of esophageal foreign bodies occur at the entrance to the esophagus or at the narrowing of the esophagus. basic knowledge The proportion of illness: 0.003%--0.004% Susceptible people: young children and the elderly Mode of infection: non-infectious Complications: tracheal closure injury, tracheal obstruction, suppurative esophagitis, esophageal injury

Tracheal and esophageal foreign body etiology

Cause:

Tracheal and esophageal foreign body prevention

1. Avoid giving children under 3 to 5 years of age eating peanuts, melon seeds, legumes and small toys that can enter the mouth and nostrils.

2, educate children not to play with the contents of the mouth, if found, should be persuaded to persuade, make it spit out, can not be forced to use fingers to avoid causing crying to inhale the airway.

3, do not laugh when eating, crying, snoring, so as not to inhale the foreign body into the airway when inhaling deeply.

4. Once the esophagus foreign body occurs, it should be treated immediately. Use a hard or soft esophagus to remove the foreign body. Do not force the swallowing rice ball, taro, leeks and other methods to push the foreign body down, so as to avoid aggravating the injury, complications, and increase the difficulty of surgery. .

Tracheal and esophageal foreign body complications Complications, tracheal closure, tracheal obstruction, suppurative esophagitis, esophageal injury

When a child has a large foreign body of esophagus, it may cause difficulty in breathing on the posterior wall of the trachea, and saliva may flow into the trachea to cause irritation and cough.

Tracheal and esophageal foreign body symptoms Common symptoms Difficulty breathing, swallowing difficulties, eating difficulties, eating foods that are hard to eat... At the trachea, you can hear different...

Mainly due to difficulty in swallowing, foreign matter stays in the esophagus due to mechanical obstruction and affects swallowing. Light is like a round blunt foreign body or can be slightly fed into the food or semi-liquid diet. In severe cases, dripping water is difficult to swallow, often mouth drooling, and feeling chest Obstruction, sharp foreign body pain in the anterior thyroid cartilage or behind the sternum.

When a child has a large foreign body of esophagus, it may cause difficulty in breathing on the posterior wall of the trachea, and saliva may flow into the trachea to cause irritation and cough.

Trachea and esophageal foreign body inspection

The patient can be swallowed and swallowed. At this time, the face can immediately appear a special savage painful expression, turning his head and necking, and holding the pain.

Indirect laryngoscopy revealed salivary retention in the pear-shaped fossa, or edema of the sacral cartilage, which should be considered as esophageal foreign body.

X-ray examination of the esophagus can confirm the diagnosis of metal opaque foreign matter or large dense bone, and can be positioned by X-ray film. For small, non-developed, non-metallic foreign objects can be checked with tincture, or cotton fiber can be added for perspective positioning. Iodine oil should be used when there is suspected perforation of the esophagus. In a few cases, especially in children with X-ray examination, no foreign body is found, but there is a history of obvious foreign body, and if the symptoms persist and cannot be diagnosed, esophagoscopy should be performed.

Diagnosis and identification of tracheal and esophageal foreign bodies

The disease should be differentiated from the airway and esophageal space-occupying lesions, such as tuberculosis of the tracheal mucosa, which can cause a irritating cough due to repeated stimulation of the tracheal mucosa, similar to the performance of tracheal foreign bodies. Second, the edema of the throat can also block the respiratory tract and produce symptoms of upper airway obstruction. Esophageal tumors, including leiomyoma and esophageal cancer, affect normal swallowing function. According to the laryngoscope and gastroscopy, it is clear.

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