Keppler V, Knüttgen D, Vorweg M, Doehn M
Abteilung für Anaesthesiologie, Krankenhaus Köln-Merheim, Kliniken der Stadt Köln.
Anaesthesist. 2003 Dec;52(12):1149-51. doi: 10.1007/s00101-003-0579-7.
Chewing gum is a common habit. Based on two cases of esophageal obstruction during induction of general anesthesia, the importance of chewing gum for anesthesiology is outlined. The dangers of chewing gum result from obstruction of the trachea and oesophagus but complications may also result from stimulated production of gastric juice with a risk of consecutive regurgitation and aspiration. In the case of an obstacle in the oesophagus when inserting a nasogastric tube, an obstruction by a mass of chewing gum should be considered. Although the literature provides differing statements concerning the volume and acidity of gastric juice after chewing gum, the use of chewing gum should be included in preanesthetic NPO rules.
嚼口香糖是一种常见的习惯。基于两例全身麻醉诱导期间食管梗阻的病例,概述了嚼口香糖对麻醉学的重要性。嚼口香糖的危险源于气管和食管梗阻,但也可能因胃液分泌受刺激而导致并发症,存在后续反流和误吸的风险。在插入鼻胃管时若食管出现梗阻情况,应考虑是否由一团口香糖造成梗阻。尽管文献中关于嚼口香糖后胃液的量和酸度存在不同说法,但嚼口香糖的情况应纳入麻醉前禁食禁水规则之中。