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目的评价吞食异物急诊时的诊治程序和最佳处理方法,以便早期提高异物取出成功率。方法对2004年12月~2005年8月来我院诊治的的此类病人101例的临床诊治进行分析。结果仅经电子胃镜操作29例取出25例,成功率86.29%;经喉镜操作72例取出60例,成功率83.3%;其中喉镜操作后再行胃镜操作6例取出4例成功率66.7%。结论依患病情及时选择相应措施并正确掌握吞食异物临床诊治程序,利于异物的取出。内镜对诊治具有重要临床价值。
Objective To evaluate the diagnosis and treatment procedures and the best treatment methods when swallowing foreign bodies in order to improve the success rate of foreign body removal early. Methods Clinical diagnosis and treatment of 101 cases of such patients who came to our hospital from December 2004 to August 2005 were analyzed. Results Twenty-five cases were removed by electrosurgery and the success rate was 86.29%. Sixty-two cases were removed by laryngoscope operation, with a success rate of 83.3%. Among them, laryngoscope operation followed by gastroscopy in 6 cases resulted in a success rate of 66.7% . Conclusions According to the condition, timely choose the corresponding measures and correctly grasp the clinical diagnosis and treatment procedure of swallowing foreign body, which is good for the removal of foreign body. Endoscopic diagnosis and treatment has important clinical value.