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目的：探讨和改进小儿洗胃的方法。方法24例中毒婴幼儿分为对照组和改进组。在患儿及家属的心理护理、参加洗胃的护理人员数、患儿洗胃体位及固定方法、洗胃液及洗胃液量、胃管的选择、插管的方法、打开口腔的方法共7个方面进行改进。将两种方法在医疗纠纷的发生、管道堵塞重插、管道脱管、洗胃并发症的发生进行比较。结果对照组和改进组在医疗纠纷的发生、管道堵塞重插、管道脱管、洗胃并发症的发生均有统计学差异。结论通过对婴幼儿洗胃方法的改进，利于保持呼吸道的通畅，减少并发症的发生，有效避免了医疗纠纷的发生，减轻患儿的痛苦及护士工作量。“,”Purpose: To discuss and improve the methods for infants and toddlers gastric lavage. Methods: 24 toxic infants and toddlers were randomly divided into two groups, the control group and the improved group. Total seven aspects were improved, including family psychological care, the number of the nursing staff, the infants and toddlers’ position during gastric lavage, the type and volume of the gastric lavage fluid, the type of nasogastric(NG) tube, the methods of intubation, and the way of opening the oral cavity. Compare the incidence of medical accident, replacement of NG tube, dislocation of the NG tube, and complications after gastric lavage in two groups. Results: there is statistical significant difference in control group and improved group, regarding the incidence of medical accidents, replacement of NG tube, dislocation of the NG tube, and complications after gastric lavage Conclusion: It wil keep the airway clear, decrease the complications, avoid medical accidents effectively, and decrease the discomfort for patients, decrease the nurse’s workload as wel after we improve the gastric lavage for infants and toddlers.