Recently, the news that a baby girl was inserted with 16 steel needles in many parts of her body touched the hearts of many Chinese in the north and south of the great river. A girl under one year of age, who is so unscrupulous? We will hand over the unscrupulous people to the public security organs for investigation.
Many netizens are angry and can’t help worrying about the baby girl. What can I do if so many needles are inserted?
Will the steel needle leave in the body cause how’s injury?
Steel needles are different from many round and blunt foreign bodies. Slender and sharp. After piercing into the soft tissue of the body, it immediately disappears on the surface skin. However, the slender needle body will move along with the limb movement in muscles or under the skin, with sharp tips. In the process of movement, it will cause secondary damage to the tissue of the injured part. Each movement, the needle tip may prick deeper and the child will suffer more pain.
At the same time, if the acupuncture site is close to key structures or organs, such as major arteries, nerves and even the heart, it may cause damage to these structures. The risk is that repeated activities, the needle tip repeatedly cuts nearby structures, causing damage such as blood vessels and nerves.
What happens if the steel needle is not found?
If the steel needle is relatively thick, the chance of breaking is not great. However, if the steel needle is small, It is possible to break. The extremely tiny metal foreign body, such as the needle tip, may wander around with the contraction and relaxation of the muscle. As a result, the position of the foreign body is already far away from the original puncture wound when it is found, and the steel needle is very thin, which makes it difficult to locate even under X-ray fluoroscopy, making it difficult to trace back, making it even more difficult to remove the foreign body.
Why does the needle disappear when it pokes in?
Skin is one of the most elastic tissues in the human body. When a steel needle is inserted, the wound is very small. After the needle body is completely submerged under the skin, the tiny holes are immediately closed due to the elasticity of the skin. Wounds the size of pinholes heal quickly, especially for infants, with stronger healing ability.
You can imagine that the pinholes for intramuscular injection (injection) are difficult to find in a few minutes.
Moreover, if the penetration depth of the steel needle is relatively deep, it is difficult to touch the skin surface.
At ordinary times, patients who come into contact with many foreign bodies in clinical work cannot touch most deep foreign bodies except some foreign bodies that can be touched in superficial parts.
How do I get the needle? Will the wound be large? Is it harmful to children?
The operation of removing the steel needle is clinically called: foreign body removal. The difficulty of the operation is closely related to the nature and location of the foreign body.
The deeper the foreign body is, the further away it is from the original wound, the harder it is to get it.
The smaller the foreign body, the harder it is to get it.
The closer the foreign body is to the key structure, the greater the risk.
Clinically, patients who come to fetch foreign bodies are often seen. Most of them are injured by metal debris flying into the body at work, followed by branches and wooden pricks. Of course, there are bullet wounds.
If the foreign body is very superficial and can be touched directly on the skin, it is easy to take. The surgical trauma is not big either.
If the foreign body is deep or far away from the original entrance, X-ray or even three-dimensional CT location is required. Under the location, a new surgical incision is reopened to explore the foreign body according to the location indicated by the imaging location. This wound must not be small, because doctors must be given a certain field of vision to operate and observe.
Probing is searching. Since it is searching, it is inevitable to peel off muscles and blood vessels to a certain extent, causing damage.
More importantly, sometimes, even if probing is carried out, foreign bodies may not be found. Because the area we explore is human tissue, which is alive and energetic! It is not a piece of sand without vitality! We cannot be allowed to search everywhere. Sometimes, foreign bodies are relatively small and cannot be found or have to be abandoned. Because we cannot risk damaging more functional organizations to find a tiny foreign body.
Clinically, there will be some patients with shotgun wounds, more than 30 small bullet wounds all over the body. If all of them are taken out, they will be black and blue all over. At this time, the trauma of the operation is far greater than the injury of the foreign body itself to the body. Therefore, these foreign bodies that have not been taken out may accompany the patient for a lifetime.
Can it cause tetanus?
Not sure.
The pathogen that causes tetanus is called Clostridium tetanus, which is most likely to infect deep tissues. Because of its love for anaerobic environment, deep injuries with closed surface wounds are most likely to occur. Needle injuries are exactly this category. Because Clostridium tetanus is common on rusty steel needles and nails.
If the injection of tetanus antitoxin is carried out as soon as possible after the stab wound, it can play a preventive role. However, it is not clear when the baby girl was pierced into the steel needle. Presumably, whether the tetanus antitoxin was injected in time or not can be guessed.
Moreover, the baby girl is only 11 months old, and the tetanus vaccine in China’s children’s planned immunization may not have completed immunization. Especially in China’s rural areas, the coverage rate of children’s planned immunization is not ideal. Besides, tetanus still has an incubation period of about 7 days.
Therefore, even though little Hemerocallis has not yet developed the disease, we are not sure whether she is infected.
However, it is of great significance to inject tetanus antitoxin immediately after admission and complete tetanus vaccine inoculation in time to prevent tetanus.
If it is not discovered, what will happen after a long time?
After the foreign body enters the body, if it is not removed by surgical operation, it will cause inflammatory reaction in the surrounding tissues, and then inflammatory granulation hyperplasia, wrapping the foreign body to form a lump. After the wrapping is completed, it can prevent the foreign body from causing secondary damage to the body to a certain extent. It is also for this reason that there is news such as [bullets accompany veterans for 20 years].
The author also performed tumor resection for a patient with a calf tumor before. After the cut-off tumor was cut open, it was found that it was wrapped in a branch. After asking the patient, he remembered that he had been injured by a branch more than ten years ago.
But this is not the case, you can let all foreign bodies exist in the body!
Cases like Little Hemerocallis have been punctured with steel needles all over their bodies, even in their chest and abdominal cavity. It is very likely that these steel needles have already caused fatal injury to children before the package is formed.
Author Press
It is no accident that such vicious cases occur in our country. Ignorant behavior reflects the soul of ignorance.
As doctors, we need to think medically. As a person, we need to think about human nature.