Playing with green beans, 9-month-old baby choked on beans, 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, ran over and saw 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%, was intubated and transferred to Vinh Long General Hospital.

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

Doctor removes 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 that 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 for mechanical ventilation. X-rays later showed that baby A's lungs expanded well after the foreign body was removed.

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 her mouth. An hour before being admitted to the hospital, the child ate snakehead fish porridge, suddenly coughed, choked, vomited, and turned purple. Her family discovered this and immediately took her 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 being admitted to the hospital, he accidentally swallowed a trumpet from a toy duck, and afterwards he was fine, without choking or coughing. A few minutes later, he drank water, coughed, and vomited food, but without the trumpet. At the hospital, N.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 their children play, laugh while eating, or play with small toys, because young children often suck on toys, making them easily fall into the airways. They should 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