Department of Neurological Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Am J Otolaryngol. 2012 Jan-Feb;33(1):178-80. doi: 10.1016/j.amjoto.2011.04.001. Epub 2011 Jun 28.
A significant number of neurosurgical patients require feeding tube placement via a nasogastric route. It is used as a temporary access for enteral feeding until patients are able to swallow or receive permanent access. Despite how commonly feeding tubes are used, they are not without potential complications. We report a case of inadvertent placement of small-bore feeding tube into the brain stem and spinal cord in a patient with a history of previous endoscopic transnasal resection of clival chordoma. We discuss the management of this complication and the strategies that have been developed to avoid this complication in the future.
相当数量的神经外科患者需要通过鼻胃管途径放置喂养管。它被用作肠内喂养的临时通道，直到患者能够吞咽或获得永久通道。尽管喂养管的使用非常普遍，但它们并非没有潜在的并发症。我们报告了一例既往经鼻内镜颅底脊索瘤切除术患者，小口径喂养管意外插入脑干和脊髓的病例。我们讨论了这种并发症的处理方法以及未来为避免这种并发症而制定的策略。
