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咽部异物是耳鼻咽喉科常见急诊。我科1986年至1989年夜间急诊1334例次,其中以咽部异物就诊的243例次,占18%。243例次中,219例次取出异物,24例次未找到异物。在临床实践中我们体会到,病人一般都能正确指出异物存在的部位,大部分病人能在颈外指出异物所在的平面。这些咽部异物多数容易发现和取出,但亦有些异物,如鱼刺,因病人用饭团或蔬菜反复吞咽,致使异物深深刺入组织或进入隐蔽的地方,不易寻找。遇到这种情况,我们的处理方法是:
Pharyngeal foreign body is a common emergency department of otolaryngology. In our department, there were 1334 nighttime emergency services from 1986 to 1989, of which 243 cases were treated with foreign bodies in the throat, accounting for 18%. In 243 cases, foreign bodies were removed in 219 cases and foreign bodies were not found in 24 cases. In clinical practice, we realize that patients are generally correctly pointed out the existence of foreign body parts, most of the patients outside the neck can be pointed out that the foreign body plane. Most of these pharyngeal foreign body easy to find and remove, but also some foreign body, such as fish spines, repeated swallowing with rice balls or vegetables, resulting in foreign body deeply into the organization or into the hidden place, not easy to find. In this case, our approach is: