儿童食管异物导致食管穿孔及纵隔脓肿临床上并不多见,食管穿孔可以引起致死性纵隔炎、纵隔脓肿和主动脉破裂导致大出血等严重并发症,据报告前二者的死亡率约为15.0%~33.3%〔1〕。因此一旦发生,应及早诊断,有效处理,减少死亡。我科自2006年以来共收治小儿食管异物并发食管穿孔及 Foreign esophageal children lead to esophageal perforation and mediastinal abscess clinical rare, esophageal perforation can cause fatal mediastinitis, mediastinal abscess and aortic rupture leading to major bleeding and other serious complications, the former reported mortality rate of about 15.0% ~ 33.3% 〔1〕. Therefore, once occurred, should be diagnosed as soon as possible, effective treatment to reduce death. Since 2006, our department has treated children with esophageal foreign bodies and esophageal perforation