Jehangir Susan, David Dennis Darren
General Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.
BMJ Case Rep. 2017 May 3;2017:bcr-2016-217834. doi: 10.1136/bcr-2016-217834.
Inadvertent knotting of infant feeding tubes used for clean intermittent catheterisation (CIC) is a rare complication in paediatric patients. The small flexible tubes used in infants if advanced too far into the bladder may form a knot as the bladder empties. Surgical intervention is required especially if it is lodged in the urethra. We present a case of a baby boy aged 4 months on CIC with a 6 Fr feeding tube, which required a meatotomy for removal. Education while instituting CIC must emphasise the length of catheter insertion, the chance of knotted catheter and steps to take if it occurs. A dedicated urotherapy nurse would be ideal.
用于清洁间歇性导尿（CIC）的婴儿喂养管意外打结在儿科患者中是一种罕见的并发症。婴儿使用的小口径柔性管如果插入膀胱过深，可能在膀胱排空时形成结。特别是当打结的管子卡在尿道时，需要进行手术干预。我们报告一例4个月大男婴，在进行CIC时使用6 Fr喂养管打结，需要行尿道口切开术取出。在开展CIC时进行教育必须强调导管插入的长度、导管打结的可能性以及发生打结时应采取的措施。配备一名专业的尿疗护士是理想的做法。
