关键词:  ,  , 控制性阶梯式减压术,  ,  , 重型颅脑外伤,  , 临床预后

Abstract: Objective   To study clinical features of esophageal foreign body in northwestern China to improve the abilities of diagnosis and treatment for the disease.Methods    Clinical data of 202 patients admitted in for esophageal foreign body was analyzed retrospectively.The general information of the patients were collected，and the types of foreign bodies，the location，diagnostic methods，methods of taking out and related complications，hospitalization days，et al were analyzed statistically.Results  The types of esophageal foreign body included jujube pit（61.8  %），animal bones（12.9%）and nonfood foreign bodies such as dentures（9.4%），metals（7.4%）and coins（5.0%）.It mainly occurred in the upper orifice of the esophagus（65.8%）.Diagnostic methods were mainly consisted of esophageal angiography（57.9%），chest Xray（19.8%）and endoscopy（16.4%）.Most of the patients（189，93.6%）were treated with esophagoscopy.Altogether 26 cases presented with complications，and 18 of them were admitted in for jujube pit.Conclusion   The main cause of esophageal foreign body is jujube pit，which the incidence of postoperative complications is higher than other foreign bodies.

Key words:  ,  , controlled step decompression,  , severe traumatic brain injury, clinical prognosis