极低出生体重儿的鼻胃管置入与食管穿孔

Nasogastric Tube Placement and Esophageal Perforation in Extremely Low Birth Weight Infants.

作者信息

Yong Su-Boon, Ma Jui-Shan, Chen Feng-Shun, Chung Mei-Yung, Yang Kuender D

机构信息

Department of Pediatrics, Show Chwan Memorial Hospital, Changhua, Taiwan.

Department of Pediatrics, Feng-Yuan Hospital, Ministry of Health and Welfare, Executive Yuan, Taichung, Taiwan; College of General Education, Hungkuang University, Taichung, Taiwan.

出版信息

Pediatr Neonatol. 2016 Oct;57(5):427-430. doi: 10.1016/j.pedneo.2013.10.011. Epub 2014 Jan 13.

DOI:10.1016/j.pedneo.2013.10.011

PMID:24429355

Abstract

Perforation of the esophagus associated with placement of nasogastric tubes is not uncommon in preterm infants. Herein we report three cases of iatrogenic esophageal perforation associated with nasogastric tube placement. With nonsurgical management of parenteral nutrition and broad-spectrum antimicrobial therapy, all three neonates survived without sequelae. Effective strategies to prevent such complications are discussed.

摘要

在早产儿中，与鼻胃管放置相关的食管穿孔并不罕见。在此，我们报告3例与鼻胃管放置相关的医源性食管穿孔病例。通过肠外营养的非手术管理和广谱抗菌治疗，所有3例新生儿均存活且无后遗症。文中讨论了预防此类并发症的有效策略。