本文报告5例均无咽下异物史而长期存在食管异物的小儿。其中2例唯一症状是进行性吞咽困难,3例呈现呼吸系症状。例1,7岁男孩,主诉吞咽困难2个月,只能饮流质不能进干食。否认异物咽下史,颈、胸部 X 线平片阴性,钡餐检查,梨状窝处有一Zenker 型憩室。食管镜检查未见异物,经颈外手术进入食管,取出一个深埋于肉芽下的塑料扣。例2,19个月女婴,吞咽困 This article reports five cases of children without history of foreign body ingestion but long-term presence of foreign body. Of the two cases, the only symptom was progressive dysphagia and three showed respiratory symptoms. Example 1, 7-year-old boy, complained of difficulty swallowing 2 months, can only drink liquid can not enter dry food. Denied the history of foreign body swallowing, neck, chest X-ray negative, barium meal examination, pear-shaped nest at a Zenker diverticulum. Esophagoscopy without foreign body, the surgical operation into the esophagus, remove a deep under the plastic bud under the plastic button. Example 2, 19-month-old baby girl, swallowing sleepy