Runge Elliot, Mohammed Salman, Kioka Mutsumi
Pulmonology and Critical Care, University of Nevada Las Vegas School of Medicine, Las Vegas, USA.
Critical Care Medicine, University of Nevada Las Vegas School of Medicine, Las Vegas, USA.
Cureus. 2023 Jan 31;15(1):e34472. doi: 10.7759/cureus.34472. eCollection 2023 Jan.
Nasogastric and orogastric tube (NGT/OGT) insertion is a routine in-hospital procedure used in patients who need enteral feeding, medication administration, and gastric decompression in a patient unable to tolerate per oral administration. NGT insertion has a relatively low complication rate when performed adequately; however, previous studies demonstrate that associated complications range from delicate, simple nose bleeds to more severe conditions such as nasal mucosal bleeding, which can be easily aspirated in a patient with encephalopathy or other conditions associated with the inability to protect the airway. Here we present a case of traumatic NGT insertion causing nasal bleeding, leading to respiratory distress secondary to aspiration of blood clot obscuring the airway.
鼻胃管和口胃管插入术是一种常规的住院操作，用于那些需要肠内营养、给药以及对无法耐受经口给药的患者进行胃肠减压的情况。若操作得当，鼻胃管插入术的并发症发生率相对较低；然而，既往研究表明，相关并发症范围从轻微的鼻出血到更严重的情况，如鼻黏膜出血，在患有脑病或其他与气道保护能力丧失相关疾病的患者中，这种出血很容易被误吸。在此，我们报告一例因鼻胃管插入术导致创伤性鼻出血，进而因血凝块阻塞气道误吸继发呼吸窘迫的病例。
