1厘米在胃里 1 cm in the stomach

　　长5厘米、粗4毫米的茶梗穿透胃壁，仅剩1厘米露在胃壁内。

5 cm long/Coarse 4 mm tea stem through the hole in the stomach wall,With only 1 cm dew in the lining of the stomach inside.

　　

4厘米在胃外 4 cm in the stomach

　　茶梗有4厘米已经刺穿胃壁，露在腹腔里，距离肝脏仅1毫米。

Tea terrier has 4 cm has pierced the lining of the stomach,Dew in the abdominal cavity,Distance liver only 1 mm.

　　38岁的龙泉农民胡广志干完一下午的农活，回家后他拿起桌上的一杯茶喝了一大口。但他并不知道，在这些茶叶中，有一个长约5厘米，粗约4毫米的茶叶梗顺着水被喝到了胃里。在一系列的巧合后，这根茶梗在他的身体中展开了一场惊险之旅，刺穿了他的胃壁，距离肝脏仅1毫米，差点危及他的生命。

And old longquan farmers HuGuangZhi finished an afternoon of farm work,After coming home he picked up on the table a cup of tea to drink a gulp.But he did not know,In these tea,There is a long about 5 cm,Coarse about 4 mm tea terrier along the water is drunk in the stomach.In a series of after coincidence,This tea stalk in his body launched a breathtaking trip,Stung him in the stomach,Distance liver only 1 mm,Almost endanger his life.

　　

寻茶梗做CT检查也照不出来 For tea stem do CT inspection and as not to come out

　　近日，胡广志在饮茶后三天突然感到上腹疼痛，因为疼痛难忍，他到龙泉当地的医院进行了检查。因为胡广志一直胃口良好，从来没有得过什么胃病，医生怀疑他得了胆囊结石或者胆绞痛，便让他做了一个CT。

recently,Three days after HuGuang aim at tea suddenly feel epigastric pain,Because is so painful,He went to longquan local hospital for a check.Because HuGuangZhi has good appetite,Never had any stomach trouble,The doctor was doubtful whether he had gallstones or biliary colic,Then let him to do a CT.

　　经过CT检查，并未发现任何异常。但此后，他的疼痛感逐渐加剧了，他又忍了7天，疼痛仍在加剧，他不得不又来到医院进行检查。

After CT examination,Did not find any abnormal.But since then,His pain gradually increased,He endured for the 7 days,Pain is still in the aggravate,He had to came to the hospital for examination.

　　在进行完胃镜检查后，胡广志上腹疼痛的原因终于找到了。在他胃部幽门口附近，一根树杆样东西直立插进了胃壁中。

In the after gastroscopy,HuGuangZhi epigastric pain finally find the reason.In his stomach pylorus near the mouth,A single tree bar things upright interposed in the lining of the stomach.

　　他这才回想起最近喝的茶是朋友刚刚从外地给他带回来的，茶叶中夹杂着一些茶梗，因为干农活后口渴，大口喝茶，不小心把茶梗喝进去了。

He then recalled recently drink tea is friend just from foreign bring him back,Tea mixed with some tea terrier,Because to do farm work any more after thirsty,Big tea,Be careful not to drink tea stem went in.

　　

险让他进行剖腹探查 Risk let him laparotomy

　　虽然查明了“罪魁祸首”，但另一个棘手问题又摆在了医生们的面前：胃镜只能确定胃表面的损伤情况，茶梗插入胃壁的部分，是否破坏到了血管和脏器，这些信息还需要CT检测才能确定，只有得到了这些信息，才能为他确定手术方案。但此前通过CT检测时，并没有发现茶梗刺入了他的胃壁。

Although find out the"culprit",But another difficult problem again in front of the doctors:Gastroscope can only be sure of gastric surface damage,Tea stem into part of the stomach,Whether damage to blood vessels and organs,The information also need to CT testing to be sure,Only get the information,To determine the operation scheme for him.But after testing by CT,And found no tea stem penetrate into his stomach.

　　医生告诉记者，这是因为茶梗的密度和胃壁的密度相近，而且体积比较小，在靠密度差别显影的CT影像中，插入胃壁的茶梗很难和胃壁区分开来。

The doctor told reporters,This is because tea stem density and the density of the lining of the stomach near,And the relatively small volume,On the density difference of CT image enhancement,Insert the lining of the stomach and the tea stem is difficult to distinguish the lining of the stomach.

　　此时，老胡被茶梗刺入身体已经有十几天的时间，胃痛越来越剧烈，按照传统的治疗方法，他必须进行剖腹探查，但剖腹探查切口大，术中寻找异物时间长，会危及患者生命，而且还不容易找到异物，给病人带来很大的痛苦。

At this time,LaoHu be tea stem penetrate into the body has more than ten days time,Stomach is more and more severe,According to the traditional treatment,He must be laparotomy,But big laparotomy incision,Intraoperative looking for foreign body for a long time,Will endanger the patient life,And is not easy to find foreign body,Give the patient a lot of pain.

　　

取茶梗茶梗长5厘米粗4毫米 Take tea stem tea stem long 5 cm thick 4 mm

　　省医院的医生们开始寻找更好的解决方案，在分析了茶梗的组成部分后得出结论，茶梗在超声中显示强回声，而胃壁显示低回声，对比度大，容易显示出异物形态和位置，从而为胡广志制定了超声检查的方案。

Provincial hospital doctors began to look for a better solution,On the analysis of the tea stem part of conclusion after,Tea stalk in ultrasonic shows strong echo,And the lining of the stomach show low echo,Contrast big,Easy to show foreign body shape and position,HuGuangZhi so as to make the ultrasonic inspection plan.

　　在检测中，省医院超声科副主任医师卢漫博士请胡广志喝下了以淮山药、陈皮等中成药制成的助显剂。在助显剂的帮助下，茶梗终于露出了它的“真实面孔”。

During the testing,Provincial hospital ultrasonic division of doctor of vice director of Lou diffuse doctor please HuGuangZhi drank to Chinese yam rhizome/Dried tangerine or orange peel and made of proprietary Chinese medicine help show agent.In the help in the help of the agent,Tea stem finally out of it"True face".

　　超声影像显示，胡广志的胃窦壁明显水肿增厚，有一根长约5cm，粗约0.4厘米的茶梗穿透胃壁，在胃壁外的腹腔内有4cm长，尖端被大网膜包裹，距离肝脏仅1毫米。由于肝脏被称为体内的“大血窦”，茶梗一旦穿过大网膜，造成肝脏损伤出血，老胡将有生命危险。

Ultrasonic image display,The HuGuangZhi gastric antrum wall marked edema thickening,Have a long about 5 cm,Coarse about 0.4 centimeters of tea stem through the hole in the stomach wall,In the lining of the stomach in the abdominal cavity 4 cm long,Tip is greater omentum package,Distance liver only 1 mm.Because the liver is called the body"Big blood sinus",Tea stem once through the greater omentum,Cause liver injury bleeding,LaoHu will have life risk.

　　

怕茶梗康复后看茶叶就发怵 Afraid of tea stem rehabilitation see tea is FaChu

　　通过超声检查后，医生准确定位了茶梗穿透胃壁的位置，茶梗并未伤及老胡的重要血管及脏器。因为超声检查让医生选择了一种最有针对性的手术方式，通过一次小胃部切口手术，插在老胡体内半个月的茶梗被取出，这根茶梗结束了在老胡体内的惊险之旅。医生介绍，虽然最终还是通过胃部切口才取出了异物，但这种手术与传统的“剖腹探查”相比，由于准确掌握了异物的形态和位置，切口小得多，风险也小得多。

Through the ultrasonic inspection,The doctor accurate positioning the tea stem through the position of the stomach,Tea stem not hurt and LaoHu important vascular and viscera.Because ultrasonic inspection let the doctor chose one of the most specific operation method,Through a small incision surgery in the stomach,Plug in the LaoHu body half a month of tea terrier is removed,This tea stem end of the LaoHu body breathtaking trip.The doctor is introduced,Although the final or through the stomach incision to remove the foreign body,But this kind of operation and the traditional"laparotomy"Compared with,Due to the accurate mastery of the foreign body shape and position,Much smaller incision,Risk is much smaller.

　　目前，老胡已经康复出院，昨日他在接受记者采访时说，目前他的身体恢复很好，已经可以下地干活了，不过他现在看见茶叶还有些发怵，这根险些致命的茶梗给他留下了不小的阴影。(文中病人系化名)

At present,LaoHu have rehabilitation hospital discharge,Yesterday he told reporters,Now his body recovery is very good,Can the fields,But he now see tea and some FaChu,This nearly fatal tea stalk to he left a lot of shadow.(The patient system alias)

　　

医生还原发生几率万分之一 The doctor risk reduction one over ten thousand

　　虽然茶梗被顺利取出来了，但这个茶梗如果是那么容易刺穿胃壁的话，那它又是如何通过喉咙进入胃部的呢？又是怎么通过食道被喝下去的呢？

Although tea stalk was out smoothly,But the tea stem if it was that easy words pierced the lining of the stomach,It is how to through the throat into the stomach?Is how through the esophagus get down?

　　省医院超声科副主任医师卢漫博士分析了茶梗刺入胃壁的过程。

Provincial hospital ultrasonic division of doctor of vice director of Lou diffuse doctor analyzed the tea stem penetrate into the process of the lining of the stomach.

　　她说，茶梗在被胡广志喝下后，像小船一样经过食道，滑进了他的胃部，在这个过程都显得十分顺利，但几个巧合却接踵而来。

She said,Tea stem in HuGuangZhi after drinking,Like as the boat through the esophagus,Sliding into his stomach,In this process is very smooth,But several coincidence but to come.

　　随着胃的蠕动波，茶梗混合着胃内食物飘过胃底、胃体到达胃窦部，快经过胃时，却被胃部最窄的幽门管挡住了，当它努力挣扎着穿过幽门时，不幸的是随着胃的不断蠕动，它的方向改变了，从纵向变为横向，卡在胃相对狭窄的胃窦处。

With gastric peristalsis wave,Tea stem mixed with stomach inside food across the bottom of the stomach/Gastric body to the distal stomach,Fast through the stomach,But the stomach narrow pyloric pipe blocked,When its efforts to struggle through the pylorus,Unfortunately with gastric peristalsis continuously,It changed direction,From vertical to horizontal,Stuck in a relatively narrow in the stomach gastric antrum.

　　由于茶叶杆有一定硬度，其中一端比较尖锐，在胃窦壁不断猛烈蠕动和收缩过程中，不幸的事情发生了，茶梗一点一点地插进了老胡的胃壁中。“鱼刺刺穿胃壁的情况偶尔可以发生，但我们从来没有见到过茶梗穿透胃壁，非常少见，可以算是万分之一的几率。”卢漫博士说。

Due to the tea bar have a certain hardness,One is sharp,In the gastric antrum wall constantly violent creep and shrinkage process,Unfortunate thing happened,Tea stem bit by bit inserted into the stomach of the LaoHu."Barb pierced the stomach can occur occasionally,But we have never seen tea stem through the hole in the stomach wall,Very rare,Can a one over ten thousand chance of."Lou said Dr Diffuse.

　　

医生提醒 The doctor warned the

　　

误吞后喝普通醋无用 Drunk after swallowed by ordinary vinegar useless

　　误吞鱼刺、小骨头等异物后，不少市民都是采取大口咽米饭、喝醋等“土方法”。医生提醒，这些方法都不科学，并不可取。大口吞咽米饭、青菜等食物，食道运动加剧，骨头可能越卡越深；普通食用醋浓度低，溶化不了鱼刺、骨头。异物卡喉，市民切勿强吞或者强取，以免糜烂、溃疡，甚至穿孔，最好立刻上医院，请医生帮忙夹取。(记者崔燃摄影杨涛)

Swallowed by fishbone/Small bones and other after foreign body,Many citizens is to take big pharyngeal rice/Vinegar, etc"Soil method".The doctor warned the,These methods are not scientific,Is not recommended.Big swallowing rice/Food such as vegetables,Esophageal motion increases,The deeper the more bones may be card;Common table vinegar concentration is low,Melt the fishbone/bones.Foreign body card throat,People do not strong swallow or guns,Lest erosion/ulcer,Even punched,The best on the hospital immediately,Please help doctors clip.(Reporter cui combustion photography Yang tao)