正确急救方法不可少 不同年龄有别
窒息是一种无声但致命的隐患，对年幼儿童而言尤为危险。近期槟城发生的一起悲剧性事件再次敲响警钟：一名10岁男童因噎住眼球造型的软糖而不幸丧命。事件震惊全国，促使马来西亚当局迅速下令禁止该产品，并全面下架相关电商广告。针对这点，哥伦比亚亚洲医院（芙蓉分院）（Columbia Asia Seremban）的耳鼻喉、头颈外科顾问刘有为医生（Dr. Lau Yu Wei）深入剖析儿童常见的窒息风险来源，并分享紧急应对策略与家长应具备的急救知识，帮助社会大众提高警觉，共同守护孩子的生命安全。
异物最常卡在哪里？大小会影响位置
“异物可能卡在喉咙、食道或气道。”刘有为医生表示，较大的异物如整颗葡萄或玩具零件，多半卡在喉咙或食道，造成吞咽困难；较小但危险的物品如硬币、弹珠则可能直接进入气道，导致呼吸困难或窒息。
气道异物如何处理？一定得手术吗？
气道异物的处理方式取决于其所在位置与严重程度。刘有为医生说：“气道异物通常需在全身麻醉下使用支气管镜取出，喉咙异物则可使用内视镜或异物钳。”若异物已造成呼吸困难，紧急手术可能是必要手段。
孩子窒息后可能有哪些后遗症？
即使成功抢救，窒息幸存者仍可能面临脑缺氧造成的神经损伤、声带与气道的永久性损害、反复呼吸道感染与吞咽困难等风险。
儿童为何容易噎住？高风险行为要避免
许多家长没有意识到日常生活中潜藏的危机。“边吃边玩、说话、躺著吃饭或咀嚼不充分都是危险行为，应严格避免。”刘有为医生指出，食物如葡萄、花生、爆米花与硬糖，以及小型玩具如积木、弹珠与硬币都是高风险物品。
正确急救方法不可少 不同年龄有别
当孩子出现窒息现象，应依年龄采取正确急救措施。1岁以下婴儿应使用背部拍打结合胸部按压；1岁以上儿童则可采用“海姆立克急救法（Heimlich Maneuver）”。刘有为医生提醒：“动作必须准确，过大力道可能造成骨折，特别是婴幼儿。”
这些急救误区千万别犯
在慌乱之中，有些家长可能试图用手指掏出异物，或尝试用尖锐物品戳喉咙“造口呼吸”，这些做法反而可能使异物更深入气道，造成更大伤害。“最好的方式是立即施救并拨打急救电话。”
到医院后的处置与后续治疗
儿童被送医后，急诊医生会立刻评估呼吸与心跳，必要时进行气管插管或心肺复苏术（CPR），接著视情况取出异物并给予氧气、抗生素或手术治疗。
家长应如何预防？专家建议
刘有为医生呼吁家长：“用心观察孩子，别让他们边吃边玩，也不要随意将小物品放在儿童可及之处。”并建议禁止销售含小零件的玩具与硬糖等高风险食品，从源头降低风险。
本文发表于 東方日報，2025年5月8日
Share:
Was this article helpful?
Share:
Was this article helpful?
Health Packages
Elevate your health with tailored health packages at Columbia Asia Hospital. Take charge of your health journey today.
Bukit Jalil
Pterygium Surgery Package
Bukit Rimau
Love Your Heart Screening Packages
Bukit Rimau
Postnatal Package
Bukit Jalil
Maternity Package
Taiping
Cataract Surgery Package
Cheras
HPV Vaccine Package
Klang
Premier Male Screening Package
Tebrau
Cosmetic Gynecology Package
Seremban
Detailed Scan Package
Tebrau
Renal Screening Package
Klang
Premier Female Screening Package
Taiping
Echocardiogram
Taiping
CT Coronary Angiogram Package
Seremban
Preferred Health Screening Package
Batu Kawan
Heart Screening Packages
Seremban
Post Covid-19 Screening Package
Taiping
Heart Screening Package
Batu Kawan
Health Screening Packages
Klang
Pre-Employment Screening Packages
Seremban
Executive Health Screening Package
Taiping
General Health Screening (Specialist)
Petaling Jaya
Shingles Vaccination Package
Cheras
Maternity Package
Petaling Jaya
Basic Screening Package (Medical Officer)
Petaling Jaya
Antenatal Checkup
Taiping
Weight Loss Diet Plan
Bukit Jalil
Women’s Wellness
Seremban
Comprehensive Maternal Fetal Medicine Package
Batu Kawan
Little Tots Protection Trio
Setapak
Executive Screening Package
Cheras
Welcome to College Package
Tebrau
Liver Screening Package
Tebrau
Maternity Package
Taiping
Women Wellness Packages
Bukit Rimau
Baby Vaccination Package
Bukit Rimau
Cardiac Rehab Package
Iskandar Puteri
Special Anniversary Health Screening Package
Seremban
Antenatal Check Up Package
Petaling Jaya
Cardiac Screening Package
Iskandar Puteri
Colorectal Cancer Screening Package
Puchong
Hajj & Umrah Vaccination Package
Puchong
Year-end Health Screening Packages
Bukit Rimau
Incontinence Physiotherapy Program
Bukit Jalil
Liver Care Screening Package
Iskandar Puteri
Golden Age Health Screening Package
Seremban
Maternity Package
Shah Alam
Post-Covid Step Down Care
Petaling Jaya
Dietetic Service Packages
Tebrau
Thyroid Screening Package
Cheras
Thyroid Screening Package
Setapak
Basic Screening Package
Iskandar Puteri
Dietetic Service Package
Cheras
Cardiac Screening Package
Pink October 2025
Cheras
Kids Vaccination Package
Bukit Rimau
Silver Strength Therapy Package
Taiping
Premier Health Screening (Medical Officer)
Puchong
Basic Health Screening Package
Tebrau
Influenza Vaccine Promotion
Puchong
Dietitian Package
Bukit Jalil
Basic Physiotherapy Package
Tebrau
Hajj & Umrah Vaccination Package
Seremban
HPV Vaccination
Taiping
Influenza Vaccination
Puchong
Low Dose CT Scan for Lung Screening Package
Bukit Jalil
Allergy Screening Package
Bukit Jalil
Dengue Vaccination Package
Klang
Delivery Packages
Batu Kawan
Safe Travel For Kids (Starter Pack)
Cheras
Digital Mammogram Package
Bukit Rimau
Sports Package
Bukit Jalil
Health Screening Package
Iskandar Puteri
Prostate Screening Package
Petaling Jaya
New Year, New You Package
Petaling Jaya
Pre-Marital Screening Package
Seremban
Normal Delivery Package
Iskandar Puteri
DEXA Scan Bone Density Test
Puchong
Maternity Promotion
Cheras
Neuro Management Physiotherapy Package
Bukit Jalil
Stroke Package
Cheras
Wellness Package – Essential
Puchong
Liver Care Package
Taiping
Gold Health Screening (Specialist)
Tebrau
Wellwoman Executive Screening (by Physician & Gynecologist)
Setapak
Premier Screening Package
Tebrau
Dengue Vaccination Package
Tebrau
Executive Screening (by Physician)
Bukit Rimau
Basic Dietary Package
Petaling Jaya
Hajj & Umrah Vaccination Package
Cheras
Bell’s Palsy Package
Taiping
Essential Health Screening (Medical Officer)
Klang
HPV Vaccination Package
Puchong
Comprehensive Eye Packages
Petaling Jaya
Post Covid-19 Screening Package
Klang
Baby Vaccination Package
Taiping
Hajj & Umrah Vaccination Package
Iskandar Puteri
Cervical Cancer Screening Package
Taiping
Basic Health Screening (Medical Officer)
Klang
Scope Packages
Cheras
Pain Relief Package
Bukit Rimau
Basic Dietary Consultation Package
Cheras
Dengue Vaccination Package
Iskandar Puteri
Wellman Premier Screening Package
Seremban
Influenza Vaccine
Tebrau
Standard Screening (by Physician)
Cheras
Wellness Package – C-Cancer Male
Cheras
Diet Consultation Package
Puchong
Influenza Vaccine Promotion
Iskandar Puteri
Ear, Nose & Throat Screening Package
Taiping
General Health Screening (Medical Officer)
Bukit Jalil
Cardiac Screening Package
Puchong
Pre-Employment Screening Package
Iskandar Puteri
Pre-Employment Screening Package
Tebrau
Wellwoman Premier Screening (by Physician)
Iskandar Puteri
Delivery Package
Cheras
Frozen Shoulder Treatment Package
Cheras
Wellness Package – C-Cardiac Plus Female
Iskandar Puteri
Cardiac Screening Package
Tebrau
Wellman Premier Screening (by Physician)
Iskandar Puteri
Shingles Vaccine
Bukit Rimau
HPV Vaccination Package
Taiping
Silver Health Screening (Specialist)
Taiping
Wellness Health Screening (Specialist)
Iskandar Puteri
Health Screening Packages
Bukit Jalil
Fetal Detailed Scan Package
Klang
Pre-marital Screening Package
Petaling Jaya
Allergy Test Promotion
Bukit Rimau
Back or Neck Physiotherapy Package
HLA Policyholders Promo: Influenza Vaccination
Cheras
Low Dose CT Scan Package
Batu Kawan
Premier Health Screening Packages
Iskandar Puteri
Care For Your Heart Screening Package
Petaling Jaya
Maternity Package
Puchong
Women Comprehensive Screening
Puchong
Chemical Peeling Package
Setapak
Maternity Package
Batu Kawan
Maternity Packages
Petaling Jaya
Basic Screening Package (Specialist)
Cheras
Wellness Package – C-Cancer Female
Bukit Rimau
Endoscopy Screening Package
Iskandar Puteri
Dengue Vaccination Package
Petaling Jaya
Pre-Employment Screening Package
Seremban
Yellow Fever Vaccination Promotion
Iskandar Puteri
Sports Rehab Laser Package
Seremban
Allergy Test Package
Bukit Jalil
Kids Vaccination Package
Bukit Rimau
Hepatitis B Vaccination Packages
Petaling Jaya
Dengue Vaccination Package
Iskandar Puteri
Umrah & Hajj Vaccination Package
Tebrau
Wellwoman Basic Screening (by Gynecologist)
Iskandar Puteri
Pre-University Screening Package
Cheras
Wellness Package – C-Cardiac Plus Male
Seremban
Occupational Health Screening / Medical Surveillance
Iskandar Puteri
Women’s Day Screening Package
Bukit Rimau
Pre-Marital Health Screening Package
Petaling Jaya
HPV Vaccination Package
Pink October 2024
Tebrau
Hepatitis B Vaccination Package
Klang
Heart Screening Packages
Bukit Rimau
Health Screening Packages
Klang
Cataract Surgery Package
Tebrau
Basic Screening Package
Taiping
Basic Dietary Consultation Package
Batu Kawan
Student and Pre-employement Health Package
Petaling Jaya
Comprehensive Screening (Specialist)
Bukit Rimau
Maternity Package
Bukit Jalil
HPV Vaccination Package
Taiping
Normal Delivery Package
Cheras
Cervical Cancer Screening Package
AIA Policyholders Self-pay Benefits
Setapak
Merdeka Screening Package
Taiping
Knee Pain Relief Treatment
Bukit Jalil
Physiotherapy Stroke Package
Klang
Wellness Package
Tebrau
CT Coronary Angiography Package
Taiping
Endoscopy Screening Package
Taiping
Eye Screening Package
Iskandar Puteri
Influenza Vaccination Package
Tebrau
Heart Screening Package
Puchong
Comprehensive Health Screening Package (Specialist)
Seremban
Dengue Fever Vaccination
Taiping
Breast Clinical Examination
Seremban
Essential Health Screening Package
Cheras
Fetal Detailed Scan Package
Cheras
Influenza Vaccine Promotion
Petaling Jaya