Many cases of children being bitten by snakes, choking on fish bones, or foreign objects during Tet

On February 16, specialist doctor 2 Nguyen Minh Tien, Deputy Director of the City Children's Hospital, said that TQĐ (8 years old, living in Tan Tru, Long An ) was bitten by a green snake, causing severe blood clotting disorder, and had to be hospitalized for emergency treatment on the afternoon of the first day of Tet (February 10).

The medical history revealed that the child went to the back of the kitchen to brush his teeth and was suddenly bitten by a red-tailed green pit viper on his left hand, causing pain and bleeding. The family stopped the bleeding and caught the snake. They immediately took the child to the local hospital, gave him first aid, administered IV fluids, and then transferred him to the City Children's Hospital.

Here, the doctors on duty noted that the child had a swollen and bruised left hand, spreading to the left forearm, bleeding through the gauze, the child's face was lethargic, and tests showed a severe blood clotting disorder. The family brought along the snake they caught, a red-tailed green pit viper. Therefore, the doctors diagnosed the child with a red-tailed green pit viper bite and administered 5 vials of specific green pit viper antivenom serum to the child.

However, after 6 hours of receiving the antivenom serum, the snake bite wound became swollen and spread to the left arm, so the child was given 5 more vials. As a result, the child's condition improved 24 hours later, the bleeding stopped, and the snake bite wound was less swollen and bruised.

Student D. was bitten by a snake on his left hand, causing swelling and bleeding. He was given a special anti-snake venom serum.

On the afternoon of the 4th day of Tet (February 13), City Children's Hospital received LPA (2 years old, male, living in Go Vap, Ho Chi Minh City) in a state of restlessness, crying, and a lot of mucus in his mouth.

An hour before being admitted to the hospital, the baby ate snakehead fish porridge, suddenly coughed, choked, vomited, and turned purple. The family discovered it and immediately took the baby to the emergency room. At the hospital, the baby had difficulty breathing, had a lot of mucus, vomited, and could not breastfeed or drink. The child had a chest X-ray and a foreign body was found in the upper esophagus; a CT scan showed a radiopaque foreign body in the soft tissue between the esophagus and trachea, with a section still in the esophagus, measuring 13x3x23 mm. The baby was immediately consulted by a gastroenterologist and an ENT specialist to remove a foreign body, a piece of fish bone measuring 1.5x2.5 cm. After removing the foreign body, the baby no longer had difficulty breathing and was alert.

The trumpet was removed from the boy's body.

A few days before, the hospital received the case of N.D.A (9 years old, male, living in Giong Rieng, Kien Giang ). 6 hours before being admitted to the hospital, he played with a trumpet in his mouth from a toy duck, sucked it in and was still normal, did not choke or cough. A few minutes later, he drank water, coughed, vomited food, and did not have a trumpet. From that time until his family took him to the hospital, he occasionally coughed like a trumpet. A. was admitted to the local hospital, then transferred to the City Children's Hospital.

CT scan of the chest without contrast, the doctor discovered a hollow tube-shaped foreign body in the right intermediate bronchus. Patient A. was transfused with packed red blood cells of the same blood type, then underwent a respiratory endoscopy using a flexible endoscope, using forceps to remove the foreign body, a 0.5x2cm plastic tube, the endoscopy did not find any more foreign bodies, then was transferred to the Department of Surgical Resuscitation.

Pay attention to food and toys for children under 5 years old

Through the above cases, Dr. Tien recommends that parents do not let children play with toys with small, removable objects; children under 5 years old should eat food with seeds, bones, etc. removed, or medicine used as syrup, powdered medicine, avoid using pills. Parents need to remind children when eating and drinking, not to "do other things" such as crying while eating because they do not agree with something, or laughing while eating, or eating in a hurry to do something, etc. to avoid the risk of inhaling food into the airways.

For children under 3 years old, when eating, make sure to remove all bones (fish) and seeds (fruit) and always have someone hold, care for and monitor the child.

In addition, parents should pay attention to clearing the area around the house to prevent snakes, bees, and insects from entering the house to attack children. Children should be instructed to be careful when walking in fields and bushes, as they are vulnerable to venomous snake attacks. It is best to wear boots when working in fields and gardens. Avoid walking barefoot and climbing trees to prevent snake bites or the risk of falling.

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