Abstract:

The foreign body of digestive tract refers to objects that are trapped in the digestive tract and can not be absorbed by the digestive tract after oral intake. It is one of the comon emergencies in children，which can cause serious harm to children’s health. Usually，the diagnosis can be made clear through the medical history，clinical manifestations and X-rayexamination，and some special foreign bodies need to be found by CT examination or digestive endoscopy. Endoscopic treatment has been the primary diagnosis and treatment means of foreign bodies in the digestive tract，but surgery is also a necessary treatment measure for patients with failed endoscopic treatment and serious complications. Through the comprehensive analysis of the nature and size of the foreign body，retention time，intraoperative situation and other related factors，a personalized treatment plan can be formulated.

Key words: digestive foreign bodies, surgery, child

摘要： 消化道异物是指经口摄入滞留在消化道内无法吸收的物体，是儿童常见急诊状况之一，对儿童健康造成较大危害。依靠病史、临床表现及X线检查一般可以明确诊断，特殊异物需要CT及内镜诊断。内镜治疗是消化道异物的首要诊疗手段，但对内镜治疗失败、合并有严重并发症的患者，手术也是必要的治疗措施，应综合分析异物性质、大小、滞留时间、术中情况等因素，制定个性化手术方案。

关键词: 消化道异物, 手术, 儿童