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[危重症患者的肠内喂养管]

[Enteral feeding tubes for critically ill patients].

作者信息

Braun J, Bein T, Wiese C H R, Graf B M, Zausig Y A

机构信息

Klinik für Anästhesiologie, Universitätsklinikum Regensburg, Franz-Josef-Strauss-Allee 11, Regensburg, Germany.

出版信息

Anaesthesist. 2011 Apr;60(4):352-65. doi: 10.1007/s00101-010-1800-0.

Abstract

The use of enteral feeding tubes is an important part of early enteral feeding in intensive care medicine. In other faculties with non-critically ill patients, such as (oncologic) surgery, neurology, paediatrics or even in palliative care medicine feeding tubes are used under various circumstances as a temporary or definite solution. The advantage of enteral feeding tubes is the almost physiologic administration of nutrition, liquids and medication. Enteral nutrition is thought to be associated with a reduced infection rate, increased mucosal function, improved immunologic function, reduced length of hospital stay and reduced costs. However, the insertion and use of feeding tubes is potentially dangerous and may be associated with life-threatening complications (bleeding, perforation, peritonitis, etc.). Therefore, the following article will give a summary of the different types of enteral feeding tubes and their range of application. Additionally, a critical look on indication and contraindication is given as well as how to insert an enteral feeding tube.

摘要

在重症监护医学中,使用肠内喂养管是早期肠内喂养的重要组成部分。在其他科室,如(肿瘤)外科、神经内科、儿科,甚至在姑息治疗医学中,对于非危重症患者,在各种情况下都会使用喂养管作为临时或确定的解决方案。肠内喂养管的优点是营养、液体和药物的给药方式几乎接近生理状态。肠内营养被认为与感染率降低、黏膜功能增强、免疫功能改善、住院时间缩短以及成本降低有关。然而,喂养管的插入和使用存在潜在危险,可能会引发危及生命的并发症(出血、穿孔、腹膜炎等)。因此,以下文章将对不同类型的肠内喂养管及其应用范围进行总结。此外,还将对适应证和禁忌证以及如何插入肠内喂养管进行批判性审视。

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