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目的为了更好地诊断和治疗老年食管异物，防止误诊、漏诊和并发症。方法对１９７１～１９９６年２５年间经治的老年食管异物２２５例进行回顾性研究。结果２１８例异物经食管镜取出，１例取异物过程中滑入胃由肛门排出，２例自动呕出，４例经颈径路切开食管取出，１例食管镜取异物后并发食管穿孔，后继发纵隔脓肿死亡，１例食管癌合并异物食管镜取异物后肺大疱破裂，并发气胸、频发性室早和心肌损害。结论对老年食管异物必须注意心肺功能，警惕食管癌合并异物，通常以局麻取异物较为安全，但对特殊异物以全麻为宜
Objective In order to better diagnose and treat elderly esophageal foreign body, to prevent misdiagnosis, missed diagnosis and complications. Methods A retrospective study of 225 elderly patients with esophageal foreign bodies undergone gestation from 1971 to 1996 was conducted. Results 218 cases of foreign bodies were removed by esophagoscopy, 1 case of foreign body sliding into the stomach by the anus, 2 cases of automatic vomit, 4 cases of esophageal calculus esophageal removal, esophageal foreign body after esophageal perforation and successor Fatty septal abscess died, 1 case of esophageal foreign body combined esophageal foreign body after taking the bullae rupture, pneumothorax, frequent ventricular premature and myocardial damage. Conclusion Elderly esophageal foreign body must pay attention to cardiopulmonary function, beware of esophageal cancer combined with foreign body, foreign body usually take local anesthesia is more safe, but for special foreign body is appropriate for general anesthesia