Siemers P T, Reinke R T
AJR Am J Roentgenol. 1976 Aug;127(2):341-3. doi: 10.2214/ajr.127.2.341.
A case of nasogastric tube perforation of the posterior nasopharynx producing a left pleural effusion and pneumomediastinum is reported. Findings which led to the correct diagnosis were the rapid appearance of a left pleural effusion simultaneous with the initiation of tube feedings, the intrathoracic location of the nasogastric tube, and demonstration of perforation of the posterior nasopharynx. Potentially hazardous intubation techniques are discussed.
报告了一例鼻胃管穿破鼻咽后部导致左侧胸腔积液和气纵隔的病例。导致正确诊断的发现包括在开始管饲时左侧胸腔积液迅速出现、鼻胃管位于胸腔内以及证实鼻咽后部穿孔。文中讨论了具有潜在危险的插管技术。
