Abder-Rahman Hasan A
Forensic Medicine and Pathology Department, Faculty of Medicine, University of Jordan, Amman, Jordan.
J Pediatr (Rio J). 2009 May-Jun;85(3):273-5. doi: 10.2223/JPED.1892. Epub 2009 May 14.
In stressful situations, people usually use finger sweep to remove pharyngeal foreign bodies from the mouth. This article reports on three cases of death of infants following the use of this technique.
A total of 26 cases of choking caused by foreign bodies aspiration in the upper and lower respiratory passages involving children younger than 11 years of age autopsied at the Forensic Department of University of Jordan between 1996 and 2006 were reviewed.
Blind finger sweep to remove pharyngeal foreign bodies were reported in three crying infants. All of these cases were younger than 1 year of age and choked on a chickpea, a marble and a short pencil. Diversity, size, shape and smoothness of the surface are the main characteristics that render the foreign bodies less easily caught by fingers and make them easily enter the respiratory passage.
These cases showed that blind finger sweep in crying infants is not only dangerous but can be a fatal maneuver.
在压力情境下，人们通常会用手指清扫动作从口腔中清除咽部异物。本文报告了3例婴儿因使用该技术而死亡的病例。
回顾了1996年至2006年间在约旦大学法医系接受尸检的11岁以下儿童因上、下呼吸道异物吸入导致窒息的26例病例。
3例哭闹婴儿报告采用盲目手指清扫动作清除咽部异物。所有这些病例年龄均小于1岁，分别被鹰嘴豆、弹珠和短铅笔噎住。异物的多样性、大小、形状和表面光滑度是使其不易被手指抓住并容易进入呼吸道的主要特征。
这些病例表明，对哭闹婴儿进行盲目手指清扫不仅危险，而且可能是致命的操作。
