Scolapio James S
Division of Gastroenterology and Hepatology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA.
Gastrointest Endosc Clin N Am. 2007 Oct;17(4):711-6. doi: 10.1016/j.giec.2007.07.013.
Aspiration is a clinical concern in patients receiving enteral tube feeding. Aspiration can result in pneumonia leading to increases in the use of antibiotics, length of hospital stay, and the risk of mortality. Pneumonia caused by aspiration of gastric contents is of particular concern in patients who require mechanical ventilation and feeding by nasogastric tube. This article summarizes factors that might influence the development of aspiration pneumonia and minimize risk, such as the position of the patient's body, method of feeding, and size of the feeding tube.
对于接受肠内管饲的患者来说,误吸是一个临床关注的问题。误吸可导致肺炎,进而增加抗生素的使用、延长住院时间并增加死亡风险。对于需要机械通气和鼻胃管喂养的患者,因胃内容物误吸引起的肺炎尤其值得关注。本文总结了可能影响误吸性肺炎发生并将风险降至最低的因素,如患者体位、喂养方法和饲管尺寸。