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清醒患者鼻胃管意外插入双侧主支气管:一例报告

Inadvertent insertion of a nasogastric tube into both main bronchi of an awake patient: a case report.

作者信息

Takwoingi Yohanna M

机构信息

Department of Otolaryngology - Head and Neck Surgery, City Hospital Dudley Road, Birmingham B18 7QH, UK.

出版信息

Cases J. 2009 May 27;2:6914. doi: 10.1186/1757-1626-2-6914.

DOI:10.1186/1757-1626-2-6914
PMID:19829883
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2740307/
Abstract

The use of nasogastric tube is desirable for the short-term administration of calories when oral feeding is not possible. Although the insertion of nasogastric tubes has been described as being easy this is not without risks. An unusual case of malpositioning of a fine bore nasogastric tube into both main bronchi in a patient that was awake is reported. Respiratory complications of misplaced nasogastric tubes and the importance of a check chest x-ray following tube placement are discussed.

摘要

当无法进行口服喂养时,使用鼻胃管进行短期热量补充是可取的。尽管鼻胃管的插入被描述为操作简单,但并非没有风险。本文报告了一例清醒患者中细孔鼻胃管误入双侧主支气管的罕见病例。文中讨论了鼻胃管误置的呼吸并发症以及置管后进行胸部X线检查的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d141/2740307/4422a49a8cfb/1757-1626-0002-0000006914-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d141/2740307/4422a49a8cfb/1757-1626-0002-0000006914-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d141/2740307/4422a49a8cfb/1757-1626-0002-0000006914-001.jpg

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引用本文的文献

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Nasogastric/nasoenteric tube-related adverse events: an integrative review.经鼻胃/肠管相关不良事件:综合评价。
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Mistaken Endobronchial Placement of a Nasogastric Tube During Mandibular Fracture Surgery.下颌骨骨折手术期间鼻胃管误置入支气管内
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Malposition of a nasogastric tube.鼻胃管位置异常。

本文引用的文献

1
A simple technique for nasogastric feeding tube insertion.一种简单的鼻胃饲管插入技术。
Eur Arch Otorhinolaryngol. 2005 May;262(5):423-5. doi: 10.1007/s00405-004-0843-8. Epub 2004 Nov 12.
2
A prospective study of tracheopulmonary complications associated with the placement of narrow-bore enteral feeding tubes.一项关于窄孔肠内喂养管放置相关气管肺部并发症的前瞻性研究。
Crit Care. 1998;2(1):25-28. doi: 10.1186/cc120.
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Tension pneumothorax and pneumomediastinum after nasogastric tube insertion.鼻胃管插入术后张力性气胸和纵隔气肿
Ann Card Anaesth. 2015 Apr-Jun;18(2):272-3. doi: 10.4103/0971-9784.154502.
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Malpositioned nasogastric tube causing pneumothorax and bronchopleural fistula.
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Inadvertent transbronchial insertion of narrow-bore feeding tubes into the pleural space.意外经支气管将细孔饲管插入胸膜腔。
JAMA. 1984 May 11;251(18):2396-7.
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Pleural complications of nasoenteric feeding tubes.
JPEN J Parenter Enteral Nutr. 1985 Sep-Oct;9(5):605-7. doi: 10.1177/0148607185009005605.
8
A technique for positioning nasoenteral feeding tubes.一种鼻肠饲管的放置技术。
JPEN J Parenter Enteral Nutr. 1987 Mar-Apr;11(2):210-3. doi: 10.1177/0148607187011002210.