【摘要】 目的 探讨内镜下治疗小儿上消化道异物的临床经验。 方法 回顾我院2001年1月～2004年12月44例确诊为上消化道异物的小儿，其中19例小儿在静脉复合麻醉后在内镜下行异物取出。另25例上消化道异物者常规镇静后行异物取出。 结果 44例患儿均在内镜直视下成功取出异物42件，食管异物32件，胃内异物10件，无严重并发症的发生。2例取出失败，观察2天后自行排出体外。成功率为95.4%，静脉复合麻醉下取异物操作时间可塑性强，但费用较高且须入手术室有麻醉师配合;常规镇静后异物取出时间灵活性强，但要求操作者技术熟练。 结论 运用消化内镜治疗小儿上消化道异物是一种方便、有效、安全可靠的方法，避免了胸腔或腹腔的手术。

    Eendoscopic management of foreign bodies in children's upper gastrointestinal tract:report of44cases

    LUO Hong-ying，MA Hong-ling，BAI Da-ming，et al.Department of Internal Medicine，Shenzhen Children's Hospital，Shenzhen518026，China

    【Abstract】 Objective To investigate the clinical experiences treatment of foreign bodies in upper digestive tract with endoscopy in children.Methods The44cases of children were confirmed with foreign bodies in upper GI tract from2001to2004.19cases of which performed with endoscopy to remove foreign bodies after combined intravenous anesthesia.The other25cases were conducted after usual sedation.Results 42cases of children with foreign bodies in upper GI tract were successfully removed by endoscopy without any complication.Altogether there were42pieces of foriegn bodies ......