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目的：积累内镜确诊及处理儿童上消化管异物的经验。方法：回顾分析我院自１９７８年１月至１９９５年３月间对６５例拟诊为上消化管异物的儿童（＜１２岁）进行的紧急内镜检查和处理。在咽喉部局麻下或全麻下用成人细径内镜操作，并配合异物器械处理异物。结果：确诊６０例中，共发现６５件异物，其中位于食管内１６件，胃内４１件，十二指肠内８件。５６例６０件异物经内镜成功地取出，仅４例５件异物因周边锐利或已进入十二指肠第３段未取出，例数和件数的成功率分别为９３．３％和９２．３％。在取出的异物中，最长１５０ｍｍ，最宽３４ｍｍ。结论：用成人细径内镜处理儿童上消化管异物是安全、有效的。
Objective: To accumulate endoscopic diagnosis and treatment of foreign body upper gastrointestinal experience. Methods: A retrospective analysis of our hospital from January 1978 to March 1995 65 cases of suspected upper gastrointestinal tract foreign body (<12 years) emergency endoscopy and treatment. In the throat under local anesthesia or general anesthesia with adult small diameter endoscopic operation, and with foreign objects equipment to deal with foreign body. Results: Among 60 confirmed cases, 65 foreign bodies were found, of which 16 were located in the esophagus, 41 in the stomach and 8 in the duodenum. 56 cases of 60 foreign bodies were successfully removed by endoscopy, only 4 cases of 5 foreign bodies due to the surrounding sharp or have not been removed into the third paragraph of the duodenum, the success rate of the number of cases and the number of 93.3% and 92, respectively. 3%. In the removal of foreign matter, the longest 150mm, the widest 34mm. Conclusions: It is safe and effective to treat children with upper gastrointestinal tract with small diameter endoscope.