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术后意识不清患者因胃管误插导致的吸入性肺炎。

Aspiration pneumonia caused by inadvertent insertion of gastric tube in an obtunded patient postoperatively.

作者信息

Xu Zhang, Li Wenxian

机构信息

Anaesthesiology Department, EENT Hospital, Shanghai, China.

出版信息

BMJ Case Rep. 2011 Nov 8;2011:bcr0620114411. doi: 10.1136/bcr.06.2011.4411.

DOI:10.1136/bcr.06.2011.4411
PMID:22674097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3214211/
Abstract

A nasogastric feeding tube is commonly inserted to facilitate patient meeting nutritional needs after oral surgery. But sometimes incorrect position may cause a severe iatrogenic damage. The authors present a case of an aspiration pneumonia complication with the result of malposition of nasogastric tube while the patient was intubated postoperatively. He recovered 3 weeks later with antibody therapy.

摘要

鼻胃饲管通常在口腔手术后插入,以帮助患者满足营养需求。但有时位置不当可能会造成严重的医源性损伤。作者介绍了一例术后插管患者因鼻胃管位置不当导致吸入性肺炎并发症的病例。患者在接受抗体治疗3周后康复。

相似文献

1
Aspiration pneumonia caused by inadvertent insertion of gastric tube in an obtunded patient postoperatively.术后意识不清患者因胃管误插导致的吸入性肺炎。
BMJ Case Rep. 2011 Nov 8;2011:bcr0620114411. doi: 10.1136/bcr.06.2011.4411.
2
[Preventive Care for Aspiration Pneumonia in Patients With an Indwelling Nasogastric Tube].[留置鼻胃管患者吸入性肺炎的预防护理]
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The nasogastric feeding tube as a risk factor for aspiration and aspiration pneumonia.鼻胃饲管作为误吸和吸入性肺炎的一个危险因素。
Curr Opin Clin Nutr Metab Care. 2003 May;6(3):327-33. doi: 10.1097/01.mco.0000068970.34812.8b.
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Does nasogastric tube cause pulmonary aspiration in children?
Pediatrics. 1991 Jan;87(1):113-4.
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Aspiration and nasogastric intubation.抽吸与鼻胃管插管
Otolaryngol Head Neck Surg. 1986 Apr;94(4):486-9. doi: 10.1177/019459988609400414.
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Role of nasogastric tube in preventing aspiration pneumonia in patients with dysphagia.鼻胃管在预防吞咽困难患者吸入性肺炎中的作用。
Singapore Med J. 2005 Nov;46(11):627-31.
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Incidence of pulmonary aspiration in intubated patients receiving enteral nutrition through wide- and narrow-bore nasogastric feeding tubes.通过宽孔和窄孔鼻胃饲管接受肠内营养的插管患者发生肺误吸的发生率。
Heart Lung. 1991 Jan;20(1):75-80.
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Inadvertent placement of a nasogastric tube following traumatic nasal tube intubation.经鼻插管后误将鼻胃管插入。
BMJ Case Rep. 2021 Dec 30;14(12):e247696. doi: 10.1136/bcr-2021-247696.
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Is routine use of the nasogastric tube justified in upper abdominal surgery?在上腹部手术中常规使用鼻胃管是否合理?
Am J Surg. 1980 Jun;139(6):849-50. doi: 10.1016/0002-9610(80)90395-5.
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Pneumonia in acute stroke patients fed by nasogastric tube.经鼻胃管喂养的急性卒中患者的肺炎
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引用本文的文献

1
Comparison of different methods of nasogastric tube insertion in anesthetized and intubated patients: A meta-analysis.麻醉插管患者不同鼻胃管插入方法的比较:一项荟萃分析。
World J Clin Cases. 2021 Sep 16;9(26):7772-7785. doi: 10.12998/wjcc.v9.i26.7772.

本文引用的文献

1
Thoracic complications of nasogastric tube: review of safe practice.鼻胃管的胸部并发症:安全操作综述
Interact Cardiovasc Thorac Surg. 2005 Oct;4(5):429-33. doi: 10.1510/icvts.2005.109488. Epub 2005 Jun 21.
2
Transnasal endoscopic placement of feeding tubes in the intensive care unit.重症监护病房经鼻内镜放置饲管
JPEN J Parenter Enteral Nutr. 2003 Sep-Oct;27(5):349-54. doi: 10.1177/0148607103027005349.
3
Use of capnometry to verify feeding tube placement.使用二氧化碳测定法来验证饲管放置位置。
Crit Care Med. 2002 Oct;30(10):2255-9. doi: 10.1097/00003246-200210000-00013.
4
Reliability of epigastric auscultation to detect gastric insufflation.
Br J Anaesth. 2002 Jan;88(1):127-9. doi: 10.1093/bja/88.1.127.
5
Development of a reliable and valid bedside test for bilirubin and its utility for improving prediction of feeding tube location.一种用于胆红素的可靠且有效的床边检测方法的开发及其在改善喂养管位置预测方面的效用。
Nurs Res. 2000 Nov-Dec;49(6):302-9. doi: 10.1097/00006199-200011000-00002.
6
Inadvertent nasogastric tube insertion into the tracheobronchial tree. A hazard of new high-residual volume cuffs.意外将鼻胃管插入气管支气管树。新型高残留容量套囊的一种风险。
Radiology. 1982 Jan;142(1):239-40. doi: 10.1148/radiology.142.1.7053538.
7
Pneumothorax due to nasogastric feeding tubes. Report of four cases, review of the literature, and recommendations for prevention.鼻胃饲管导致的气胸。四例报告、文献综述及预防建议。
Arch Intern Med. 1989 Jan;149(1):184-8. doi: 10.1001/archinte.149.1.184.