Myatt Toby C, Medak Anthony J, Lam Samuel H F
Pediatr Emerg Care. 2018 Feb;34(2):145-148. doi: 10.1097/PEC.0000000000001400.
The presentation of a pediatric patient to the emergency department for a malfunctioning or dislodged gastrostomy tube (G-tube) is not uncommon. As such, these tubes are often replaced at the bedside. Improper placement can result in a number of complications, including perforation, fistula tract formation, peritonitis, and sepsis. The current criterion standard method to confirm proper G-tube placement is contrast-enhanced radiography. However, point-of-care ultrasound may be an alternative method to guide and confirm pediatric G-tube replacement in the emergency department. We report a series of cases on this novel point-of-care ultrasound application.
儿科患者因胃造口管（G管）出现故障或移位而到急诊科就诊的情况并不少见。因此，这些管子通常在床边更换。放置不当可能会导致多种并发症，包括穿孔、瘘管形成、腹膜炎和败血症。目前确认G管正确放置的标准方法是增强造影X线摄影。然而，即时超声检查可能是在急诊科指导和确认儿科G管更换的一种替代方法。我们报告了一系列关于这种新型即时超声检查应用的病例。
