目的探讨小儿呼吸道异物的最佳治疗方法。方法对呼吸道异物患儿846例中的827例,急诊全麻下行支气管镜检查术及异物取出术,感染较重或合并皮下气肿气胸19例患儿先行对症消炎后再行手术。结果846例中一次手术成功率为99.53%(842/846),4例一般情况不良,行支持消炎治疗后二次手术成功。无1例气管切开、开胸、死亡病例。结论小儿呼吸道异物的取出要选择最佳的手术时机和麻醉方法,诊治及时,可获得较好疗效。 Objective To investigate the best treatment of respiratory tract foreign body in children. Methods A total of 827 children with respiratory tract foreign bodies were treated with bronchoscopy and foreign body removal under general anesthesia. 19 children with severe infection or subcutaneous emphysematous pneumothorax were treated with symptomatic anti-inflammatory before surgery. Results The success rate of one operation in 846 cases was 99.53% (842/846). In 4 cases, the general condition was poor. The second operation was successful after supporting the anti-inflammatory treatment. No case of tracheotomy, thoracotomy, deaths. Conclusion Removal of respiratory tract foreign body in children should choose the best timing of surgery and anesthesia, diagnosis and treatment in a timely manner, to obtain better efficacy.