Abstract:

Foreign body of digestive tract is one of the common diseases in pediatric emergency department. In mild cases，there may be no symptoms and the foreign bodies can be naturally discharged，while in serious cases，there may be life-threatening complications such as digestive tract perforation and aortoenteric fistula. The diagnosis can be made according to the history，clinical manifestations，auxiliary examinations，etc. Once the diagnosis digestive foreign body is made，different treatment measures should be adopted according to the type，retention location，ingestion time，complications，etc. At present，endoscopic removal of foreign bodies in the digestive tract is an effective treatment method，and standardized and reasonable treatment principles are the premise and guarantee for doctors to formulate treatment plans for children.

Key words: child, digestive foreign bodies, principles of digestive endoscopy

摘要： 消化道异物是儿科急诊的常见疾病，轻者可无任何症状而自然排出，重者可并发消化道穿孔、主动脉瘘等危及生命的并发症，可根据病史、临床表现、辅助检查等进行诊断，消化道异物一经确诊，应根据异物类型、滞留位置、吞入时间、并发症等情况采用不同的治疗措施。目前，内镜下消化道异物取出术是有效的治疗方式，规范合理的处理原则是医生为患儿制定治疗方案的前提和保障。

关键词: 儿童, 消化道异物, 消化内镜处理原则