O'Neil Ross, Krishnananthan Ruben
Department of Medical Imaging, The Canberra Hospital, Woden, Australian Capital Territory, Australia. ross.o'
Australas Radiol. 2004 Jun;48(2):139-41. doi: 10.1111/j.1440-1673.2004.01274.x.
A misplaced fine-bore nasogastric tube (NGT) might enter the bronchial tree. Pleural puncture and intrapleural passage of the tube is very uncommon but the location can often be inferred from the frontal chest radiograph. Following recognition of a NGT within the pleural space, progress films should be carefully screened for complications, particularly pneumothorax. This is often not done by staff involved in the monitoring of such patients because the staff frequently do not recognize the signs of intrapleural NGT insertion.
一根放置不当的细孔鼻胃管(NGT)可能会进入支气管树。胸膜穿刺及导管进入胸膜腔的情况非常罕见,但通常可从胸部正位X线片推断其位置。在识别出胸膜腔内有鼻胃管后,应仔细筛查后续的X线片以查找并发症,尤其是气胸。参与此类患者监测的工作人员常常不这样做,因为他们常常识别不出胸膜腔内插入鼻胃管的迹象。