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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.

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。

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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.

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