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上消化道异物在体内停留时间过长,特别是锐利的异物,易造成消化道出血、穿孔、梗阻等并发症。文献报道约95%以上的上消化道异物能在内镜下安全取出。患者的依从性是影响治疗效果的主要因素。内镜下治疗时间相对较长,且多次通过咽部,增加了患者痛苦及紧张恐惧的心理,也增加了术中并发症的风险。为保证取异物术顺利进行,我们在2005年12月至2010年5月间,在麻醉医师协作下,行镇静清醒胃镜下取出上消化道异物24例,效果良好。
Upper gastrointestinal foreign body residence time in the body is too long, especially sharp foreign body, easy to cause gastrointestinal bleeding, perforation, obstruction and other complications. More than 95% of the upper gastrointestinal foreign body reported in the literature can be safely removed in the endoscope. Patient compliance is a major factor affecting the effectiveness of treatment. Endoscopic treatment time is relatively long, and repeatedly through the throat, increased patient pain and nervous tension, but also increased the risk of intraoperative complications. In order to ensure the successful removal of foreign body surgery, we carried out a total of 24 cases of upper gastrointestinal foreign body removal under the calm and endoscopic gastroscopy with the help of anesthesiologists from December 2005 to May 2010 with good results.