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目的本文通过对小儿上消化道异物的急诊处理,探讨胃镜介入治疗的优越性及指征。方法取1997年1月～2004年1月就诊于我院急诊科的小儿上消化道异物37例,年龄11月～7岁。食管异物17例,均为硬币;胃内异物20例,分别为硬币、戒子、缝衣针、发夹、棒冰棍、钥匙圈、钥匙、小锁、别针、桃核等。选用 OLYMPUS 或 FUJINON 直视电子胃镜和相关器械用于内镜介入治疗32例儿童的上消化道异物。结果进行急诊胃镜介入治疗的患儿均成功取出消化道异物,无1例出现严重并发症者:结论应用内镜介入治疗小儿上消化道异物是安全的、有效的。
Objective This article through the emergency treatment of children with upper gastrointestinal tract foreign body to explore the advantages of gastroscopic intervention and indications. Methods From January 1997 to January 2004, 37 children with upper gastrointestinal tract were admitted to our emergency department, aged from 11 months to 7 years old. 17 cases of esophageal foreign body, all coins; stomach foreign body 20 cases, respectively, coins, rings, sewing needles, hair clips, popsicles, key ring, keys, small locks, pins, peach and so on. Use OLYMPUS or FUJINON direct electronic gastroscope and related instruments for endoscopic interventional treatment of 32 cases of children’s upper gastrointestinal tract foreign body. Results All children with emergency endoscopic interventional treatment successfully removed the alimentary tract foreign bodies. None of the patients had serious complications. Conclusion: It is safe and effective to use endoscopic interventional treatment of upper gastrointestinal tract in children.