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目的探讨无痛胃镜在高位食道异物取出术中的应用价值。方法术前经 X 线胸片等确定异物在食道颈部或胸部以上,普通胃镜取出困难,采用丙泊酚做静脉全身麻醉,待患者各种反射消失,开始胃镜操作,将食道异物取出,记录食道及咽部黏膜损伤情况、有无麻醉意外、操作时间等。结果所有患者均手术成功无严重并发症发生。结论无痛胃镜与普通胃镜相比,由于患者处于一种完全无知觉状态下,恶心、呕吐等反应消失,使操作更加容易,降低了风险,减少了操作时间,在高位食道异物取出术中具有一定优势。
Objective To investigate the value of painless gastroscope in the removal of high esophageal foreign bodies. [Methods] Preoperative X-ray and other foreign bodies in the esophagus to determine the neck or above the chest, ordinary gastroscopy removed Difficult to do with propofol intravenous general anesthesia, the patient disappeared after a variety of reflexes, gastroscopy began, remove the esophageal foreign body, record Esophagus and pharynx mucosal injury, with or without anesthesia accidents, operating time and so on. Results All patients were successful in surgery without serious complications. Conclusion Painless gastroscopy compared with conventional gastroscopy, the patient in a completely unconscious state, nausea, vomiting and other reactions disappear, so that easier to operate, reduce the risk and reduce the operating time in the removal of high esophageal foreign body has Certain advantages.