田女士半年前吃鱼时被鱼骨卡住，之后出现咳嗽症状，但做胃镜、喉镜都没找到鱼骨踪影，后来做CT才发现卡在气管内，非常凶险。昨日，通过开胸手术才取出肇事鱼骨。

Tian lady six months ago eat fish is fishbone stuck,Then there are symptoms of cough,But do gastroscope/Laryngoscope didn't find fishbone trace,Then do CT found that card within the trachea,Very dangerous.yesterday,Through the open-chest surgery to remove hit and fishbone.

　　半年前，田女士吃鱼时被鱼刺卡喉，用咽饭团等强吞办法，喉部的异物感消失了。但随后，她经常咳嗽，感觉不适，觉得还是鱼刺的原因，到汉口一家医院请医生取鱼刺。医生做喉镜检查未发现异常。然而田女士咳嗽的症状还是没有消失，之后又去一家大医院检查，排除感冒后，医生做了胃镜检查，仍然没有发现鱼刺，医生认为可能是心理因素。

Six months ago,Field woman eat fish is fishbone card throat,With pharyngeal rice ball and strong to swallow,Gular foreign body sensation disappeared.But then,She often cough,Feel discomfort,Feel or fishbone reason,To hankou a hospital doctor please take fishbone.The doctor do laryngoscopy no abnormalities are found.However field lady cough symptoms disappeared or not,Then go to a big hospital inspection,Ruled out after the cold,The doctor made gastroscopy,There is still no found fishbone,Doctors think may be psychological factors.

　　眼看咳嗽了半年未找出病因，3天前，田女士来到武汉大学中南医院呼吸内科，在医生的建议下做了CT检查，发现气管有明显异物。考虑到鱼刺的可能性比较大，而且位于气管，十分凶险，医生决定立即手术。

See cough for half a year did not find the cause,Three days before,Field woman came to wuhan zhongnan university hospital respiratory medicine,Below the doctor's proposal made CT examination,Find tracheal have obvious foreign body.Considering the fishbone the possibility of more,The trachea and,Very dangerous,The doctor decided to surgery.

　　昨日，在手术台上，由于异物死死卡在气管，若按常规方法通过气管实施“盲插”麻醉，很容易将异物推入主动脉弓或刺破周围大血管危及生命。麻醉师灵机一动，拿来做呼吸道检查的纤支镜，在纤支镜引导下成功在异物上端实施插管麻醉。

yesterday,On the operating table,Due to the foreign body in trachea and card,If according to the conventional method through implementation of the trachea"Blind plug"anesthesia,It's very easy to foreign bodies push the aortic arch and great vessels around puncture life-threatening.Anesthetist brainstorm,Used to respiratory inspection bronchofiberscope,In bronchofiberscope under the guidance of success in foreign body upper implementation intubation anesthesia.

　　随后，胸心血管外科教授胡学宁在患者胸壁开一直径8厘米的切口打开胸腔，发现一块长达2厘米的扁平状鱼骨横在气管内，鱼骨两端与气管壁粘连，已有轻度炎症。

then,Professor HuXueNing chest cardiovascular surgery in patients chest wall open a diameter 8 centimeters of incision open the chest,Find a piece of more than two centimeters of flat fishbone cross within the trachea,Fishbone both ends and gas pipe wall adhesion,Have mild inflammation.

　　胡学宁小心将鱼骨取出，但在处理伤口时又遇到难题。由于气管壁比较薄，加上有轻微炎症，处理伤口时既不能用针线缝合，也不能用电凝刀止血。略加思索，胡学宁采取最原始的压迫止血法，将棉球压迫在伤口处，保持适度的力道，直到伤口不再出血。

HuXueNing carefully fishbone take out,But in the treatment of wounds and difficulty.Due to the gas pipe wall is thin,Combined with a slight inflammation,When processing the wound already can't use notion suture,Also can't power setting knife hemostatic.Thinking a little,HuXueNing take the most primitive oppression hemostasis,The cotton ball in the oppression,Keep modest force,No longer until the wound bleeding.

　　胡学宁介绍，鱼骨卡在气管内的情况比较罕见，加上患者咳嗽的症状并不十分重，医生在检查时忽略了对气管异物的考虑，以致半年后才发现。气管异物非常凶险，幸好患者未发生严重的感染，否则性命难保。

HuXueNing introduced,Fishbone stuck in endotracheal conditions are rare,Add patients the symptoms of cough is not very heavy,The doctor in the examination to ignore the trachea consideration,So that half a year after that.In trachea is very dangerous,Fortunately, patients had not occurred serious infection,Otherwise, life would be in jeopardy.

小贴士：鱼刺卡喉怎么办？ Tips::Fishbone card throat?

　　相信每个人都有鱼刺卡喉的痛苦经历，习惯性的做法是喝几口醋，希望把鱼刺软化，或者是吞几口米饭、馒头，试图把鱼刺带下去。然而专家提醒，这样盲目处理不仅无济于事，而且有很大危险。

Believe that everyone has a fishbone card throat pain experience,Habitual way is to drink a few mouth vinegar,Hope the fishbone softening,Or swallow a few bites of rice/Steamed bread,Try to put the fishbone belt down.But the expert reminds,Such blind treatment not only useless,And there is a large risk.

　　正确的办法是让自己呕吐，使胃里的东西反向冲出鱼刺。或用汤匙或牙刷柄压住舌头前部分，在亮光下仔细查看舌根部、扁桃体、咽后壁等，尽可能发现异物，用镊子夹出。如果实在找不到鱼刺，仍觉鱼刺卡喉，可用下列方法软化：将橙皮切小块，口含慢慢咽下；维生素C片，含化。如仍无效，或吞咽后胸骨后疼痛，应当禁食，尽快治疗。(楚天金报讯 记者余梅 通讯员高翔)

The correct way is to let his vomiting,Make the stomach things reverse rushed out of fishbone.Or with a spoon or the handle of a toothbrush pin tongue part before,In the light of cricoid cartilage and base of tongue carefully check the department/tonsil/Pharynx posterior wall, etc,As far as possible find foreign body,With forceps clip out.If it can't find fishbone,Still sleep fishbone card throat,The following methods can be softened:The orange peel, cut into small pieces,Mouth contain slowly swallow;Vitamin C tablet,Including change.If it is null and void,Or after swallowing retrosternal pain,Should fast,Treatment as soon as possible.(Chutian 27 reporter meng correspondent towering)