患者 ,男性 ,2 9岁。33天前患者饮酒后与人打赌吞进刮胡刀片一只 ,无咳嗽及气紧 ,无痰中带血。曾在广州某医院摄全胸片提示金属异物影 ,诊断食管异物 ,但未施手术 ,来我院初步诊断 :食管异物 ,并于次日表面麻醉下施食管镜检查术 ,未见异物。第二天予食管吞钡摄片发现金属异物影 Patient, male, 29 years old. 33 days before the patient drunk and people bet swallowing a razor blade, no cough and gas tight, no sputum bloody. In a hospital in Guangzhou, a full chest radiograph of metal foreign body shadow prompted the diagnosis of esophageal foreign body, but no surgery, to our hospital for initial diagnosis: esophageal foreign body, and the next day under the surface anesthesia underwent endoscopic surgery, no foreign body. The next day to eat barium swallow film found metallic foreign body shadow