目的总结小儿鼻腔异物误诊原因,注意事项及防治。方法分析38例小儿鼻腔异物临床资料。结果鼻塞症状38例,流涕27例,鼻腔有异味9例,可疑鼻外伤2例,38例均在门诊表面麻醉下取出异物,引起鼻中隔穿孔2例。结论小儿单侧鼻塞、流涕,鼻腔有异味应排除鼻腔异物;扣式电池异物处理不当易引起鼻中隔穿孔,应引起相关医生的高度重视。 Objective To summarize the causes of misdiagnosis of children nasal foreign bodies, precautions and prevention. Methods 38 cases of children with nasal foreign body clinical data. Results Nasal congestion symptoms in 38 cases, runny nose in 27 cases, 9 cases of nasal odor, suspicious nasal injury in 2 cases, 38 cases were out of the clinic under the surface anesthesia, causing nasal septum perforation in 2 cases. Conclusion Unilateral nasal obstruction, runny nose and nasal odor should be excluded nasal foreign body; button battery foreign body improper handling easily lead to nasal septum perforation should be caused by the relevant doctor’s attention.