9-month-old baby choked on green beans while playing, pneumothorax

Taking the medical history, on the morning of February 15, the family let baby A. play with green beans. Then, the mother heard the baby crying and coughing. She ran over and saw that the baby's lips were purple, so she took him to a nearby hospital. At the hospital, it was recorded that the baby had an SpO2 index of 60%. He was intubated and transferred to Vinh Long General Hospital.

After that, Vinh Long Hospital contacted to transfer baby A. to City Children's Hospital (HCMC). At the Emergency Department of City Children's Hospital, baby A. was recorded in the X-ray condition of collapsed and pneumothorax on the right pleura.

Doctor removed bean from boy's bronchus

The patient was treated with a pleural drainage and bronchoscopy to remove the foreign body. The child had a blood clotting disorder and was given fresh plasma in the operating room. Bronchoscopy showed the foreign body was a bean, which was successfully removed by the doctors. After the procedure, the child was transferred to the Intensive Care Unit with a ventilator. X-rays later showed that baby A's lungs expanded well after the removal of the foreign body.

On February 16, the baby's health was stable, continued to be treated for pneumonia and actively resuscitated after endoscopy.

Doctor Nguyen Minh Tien, Deputy Director of the City Children's Hospital, said that during the Tet holidays, the City Children's Hospital continuously received many cases of children choking on foreign objects. On the afternoon of the 4th day of Tet (February 13), LPA (2 years old, living in Go Vap district, Ho Chi Minh City) was transferred to the hospital in a state of restlessness, crying, and a lot of mucus in his mouth. An hour before being admitted to the hospital, the child ate snakehead fish porridge, suddenly coughed, choked, vomited, and turned purple. His family discovered this and immediately took him to the emergency room.

A few days earlier, the hospital admitted N.D.A. (9 years old, living in Giong Rieng, Kien Giang ). Six hours before admission, he accidentally swallowed a trumpet from a toy duck. Afterwards, he was fine, not choking or coughing. A few minutes later, he drank water, coughed, and vomited food, but there was no trumpet. At the hospital, D.A. had a chest CT scan without contrast, and the doctor discovered a hollow tube-shaped foreign body in the right intermediate bronchus.

Through the above cases, Dr. Tien recommends that parents should not let children play, laugh while eating, or play with small toys, because young children often suck on toys, making them easily fall into the airways. Also, be careful with foods that can cause children to get foreign objects such as: peanuts, large fruit seeds, shrimp shells, crab shells... to limit unfortunate accidents from happening.

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Source link: https://thanhnien.vn/cam-dau-dua-choi-be-9-thang-tuoi-bi-hoc-hat-dau-tran-khi-mang-phoi-185240217134756313.htm