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对135例60岁以上老年人食管异物作诊治分析,经食管镜取出异物130例(96.3%),由肠道排出1例,自行呕吐2例,经颈侧进路手术取出2例。食管异物的诊断须与病史、体征、X线检查相结合。对假牙等复杂异物应采用全麻、大口径食管镜、有齿钳夹持,并使义齿卡环脱出食管壁,在通过食管入口时转位,可提高成功率。对带钩假牙异物不可强行拉取,以免引起食管壁撕裂,必要时转胸外科处理,对并发食管穿孔病例,如穿孔较大,保守治疗无望愈合,应尽早转胸外科修补。
135 cases of elderly patients over the age of 60 esophageal foreign body for diagnosis and treatment analysis, esophageal foreign body removed in 130 cases (96.3%), discharged from the intestine in 1 case, vomiting in 2 cases, 2 cases removed by the neck approach. Esophageal foreign body diagnosis must be combined with history, signs, X-ray examination. On the dentures and other complex foreign body should be used general anesthesia, large diameter esophagoscopy, with a forceps clamping, and the denture ring out of the esophageal wall, transposition in the esophageal entrance can improve the success rate. On the hook with false teeth can not be forced to pull, so as not to cause tearing of the esophageal wall, if necessary, thoracic surgery, the case of concurrent esophageal perforation, such as larger perforation, conservative treatment hopeless healing, thoracic surgery should be repaired as soon as possible.