意外将鼻胃管插入大脑：病例报告及文献复习。

Inadvertent insertion of a nasogastric tube into the brain: case report and review of the literature.

机构信息

Second Propedeutical Department of Surgery, Aristotle University, Medical School, Hippokration Hospital, Thessaloniki, Greece.

出版信息

Clin Imaging. 2012 Sep-Oct;36(5):587-90. doi: 10.1016/j.clinimag.2011.12.020. Epub 2012 Jun 8.

DOI:10.1016/j.clinimag.2011.12.020

PMID:22920367

Abstract

The inadvertent insertion of a nasogastric tube (NGT) into the brain of a trauma patient with skull base fractures is reported. A 52-year-old male with head trauma was referred following a car accident with an NGT in situ. Serosanguineous fluid was withdrawn from the NGT, which was considered to be an indication of gastrointestinal bleeding, and cold saline lavage was performed. Skull X-rays revealed intracranial position and coiling of the NGT and pneumocranium. The NGT was immediately removed manually. The patient finally went through neurosurgical operation because of an extradural hematoma, with normal postoperative course and outcome.

摘要

报告了一例创伤患者颅骨底骨折时意外将鼻胃管（NGT）插入大脑的病例。一名 52 岁男性因车祸致头部受伤，当时NGT 在位，被转介至医院。从 NGT 中抽出了血性液体，考虑为胃肠道出血的迹象，并进行了冷生理盐水灌洗。颅骨 X 光片显示 NGT 位于颅内并呈螺旋状，同时伴有气颅。立即手动将 NGT 拔出。患者最终因硬膜外血肿接受了神经外科手术，术后过程和结果正常。