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目的:探讨上消化道异物的诊断与治疗方法。方法:上消化道异物患者160例(160件异物),均行颈、胸、腹部X线透视检查及胃镜检查,并在胃镜直视下钳取上消化道异物。结果:胃镜下取出异物158件,成功率98.75%。2例异物嵌入食管壁较深,局部黏膜炎症明显,疑穿孔可能,未取出异物,转外科手术治疗,证实为食管穿孔。成功取出异物者均未出现大出血,无死亡病例。结论:胃镜钳取异物安全、有效。
Objective: To investigate the diagnosis and treatment of upper gastrointestinal foreign body. Methods: 160 cases (160 foreign bodies) in the upper gastrointestinal tract were performed X - ray, gastroscopy and neck, chest and abdomen examination. Results: Gastroscope removed 158 foreign objects, the success rate of 98.75%. 2 cases of foreign body embedded in the esophageal wall deeper, local mucosal inflammation was obvious, suspected perforation may not take foreign body, turn surgical treatment, confirmed as esophageal perforation. Successful removal of foreign bodies were not bleeding, no deaths. Conclusion: Endoscopic forceps to take foreign body safe and effective.