目的探讨对小儿食管异物处理的临床经验。方法对收治的小儿食管异物86例,在表麻或无麻下进行食管镜探查并异物取出术的临床资料分析。结果手术中成功取出异物66例(76.74%),将异物推入胃内12例(14.28%),术中未发现异物8例(0.93%),但术后经X线检查证实这8例脱落于胃内,20例落入胃内的异物,经口服石蜡油后,在24～72h内全部排出体外。4例并发食管穿孔,经禁食及鼻饲管,积极抗炎及支持疗法而痊愈。结论小儿的食管异物要及时诊断,及早取出,手术操作要轻巧,尽量减少对食管黏膜的损伤,对难取出的异物可推入胃内让其随大便排出,避免并发症的发生。 Objective To explore the clinical experience of pediatric esophageal foreign body treatment. Methods 86 cases of children with esophageal foreign bodies admitted to our hospital were treated with esophagoscopy and foreign body removal under epidermal anesthesia or without anesthesia. Results Sixty-six patients (76.74%) had foreign bodies removed during surgery, 12 (14.28%) had foreign bodies escaped into the stomach, and 8 cases (0.93%) had no foreign bodies found during operation. In the stomach, 20 cases of foreign body falling into the stomach, after oral paraffin oil, all within 24 ~ 72h excreted. 4 cases of concurrent esophageal perforation, fasting and nasogastric tube, active anti-inflammatory and supportive therapy and recovery. Conclusions Pediatric esophageal foreign body should be promptly diagnosed and removed as early as possible. The surgical operation should be lightweight and minimize the damage to the esophageal mucosa. The foreign body difficult to be removed can be pushed into the stomach to be discharged with the stool to avoid the occurrence of complications.