【摘要】 目的 探讨小儿上消化道异物手术时机与方式的选择，误诊原因分析及处理，致死原因分析。方法 回顾性分析179例临床资料，分别在无麻下、表麻加局麻下及全麻下完成手术。采用直接喉镜、纤维喉镜、硬管食道镜、纤维食管镜和颈外手术入食管完成手术。结果 摄入异物种类复杂。手术成功率95.5%(171/179)，病死率1.7%(3/179)。5例在术前准备期间将异物呕出。误诊率5.0%(9/179)。结论 误诊异物以鱼刺类针状异物为主。食道镜手术能有效保护食管壁及环咽肌上下粘膜。纤维食管镜能降低全麻手术的危险性，提高一次性手术成功率。粗块状食物是致死性异物。

    Clinical analysis on179cases of foreign bodies in the upper gastrointestinal tract in children

    Zhang Xuehui，Peng Shuwen，Fu Xiangjun，et al.

    Department of Otorhinolaryngology-Head and Neck Surgery， Guangdong Provincial177Hospital，Guangzhou510310.

    【Abstract】 Objective To explore the choice of operating opportunity and methods for foreign bodies in the upper gastrointestinal tract in children.To analyze the reasons of misdiagnosis and death.Methods The clinical data of179cases were analyzed retrospectively.All children underwent operation under general anesthesia or surface anesˉthesia or without anesthesia.The extraction of foreign bodies were completed by direct laryngoscope ......