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A case of mandarin fish bone stabbing, how to deal with it?

Don’t use antibiotics first, do bacterial culture, and change dressings frequently. ujsyangyong (contact TA on the site) Change the dressing more frequently and try using iodophor bubbles. If you don’t see foreign matter residue in the X-ray, it doesn’t necessarily mean that there is no foreign matter. I once met a patient who poked a little glass slag into the X-ray. It was discovered, but it was discovered after careful cleaning of the wound. This is related to the dose used when taking the film and the density of the foreign matter. wellgpf (Contact TA on the site) I didn’t expect mandarin fish to be so powerful, I dare not touch it. Water in the Sky (Contact TA on the site) My experience, of course, is just experience. This situation is most likely caused by incomplete debridement and dressing change. Yes, drug-resistant bacterial infection can also be considered, but if the debridement and dressing change are thorough, it will be drug-resistant bacteria. This superficial infection can also be easily solved. After all, there are so many antibiotics and disinfectants to choose from. If I encounter this situation, I will try routine dressing change during the first consultation. If routine dressing change does not work, then I will consider complete debridement and dressing change under local anesthesia. Thorough debridement and dressing change under local anesthesia can not only promote wound recovery, but also eliminate foreign bodies in this way. Of course, it is easier said than done. Talking words and taking action are two different things. If debridement and dressing change under local anesthesia cannot solve the problem, small hospitals recommend referral. If the patient cannot be referred and I handle it, he or she will be admitted to the hospital. After a good explanation and signing of the informed consent for surgery, the patient will go into the operating room for thorough debridement. Consider microsurgical debridement if necessary. The general principle is that it cannot be left in my hands anyway. I have seen people who had to have their fingers amputated due to this situation, and then it became a medical lawsuit. Looking back on this medical lawsuit, I realized that I was too careless at the beginning and did not let the patients and their families realize the potential seriousness of the problem. The patients and their families had too high expectations and did not understand the risks. If the doctor had caused more "sensation" beforehand, it is possible that the final lawsuit would not have to be fought. For everyone’s reference. Hou Boyang (contact TA on the site) remembers that fishermen on the beach often have this kind of situation when their feet are scratched by shells. You can try sprinkling amoxicillin powder on the wound and then covering it with a band-aid. This is a very simple method. The treatment method is lisyun (contact TA on the site). Is there any break? If so, there is an ointment for treating burns that can solve this problem. lisyun (contact TA on the site) used to treat the legs that were damaged by foreign objects one after another. Later, the swelling became swollen. I had to infuse fluids for about 20 days, but it never got better. Later, I used this method to treat it. It is for your reference only. zhangmen2005 (Contact TA on the site) This is the most depressing thing about eating mandarin fish. People who handle mandarin fish in the south know not to be stabbed by the fins, otherwise they are very likely to be infected, which may contain a small amount of toxins zhangmen2005 (Contact TA on the site) Baidu Encyclopedia Tips: The dorsal and anal fins of the croaker fish have sharp spines and are covered with venom gland tissue. People who are stabbed will have symptoms such as swelling, pain, fever, and chills. Pay special attention when processing and chop them off before making dishes.