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在养老院为一名克雅氏病患者插入鼻胃管时使用Tumguide®：一例病例报告

Use of Tumguide® in the Insertion of a Nasogastric Tube Into the Stomach of a Patient With Creutzfeldt-Jakob Disease in a Nursing Home: A Case Report.

作者信息

Iida Tomoya, Kodama Yumi, Kogina Kazue

机构信息

General Practice, Sapporo Home Care Clinic Soyokaze, Heiikukai Medical Corporation, Sapporo, JPN.

Nursing, Faculty of Health Sciences, Hokkaido University of Science, Sapporo, JPN.

出版信息

Cureus. 2024 Jan 11;16(1):e52082. doi: 10.7759/cureus.52082. eCollection 2024 Jan.

DOI:10.7759/cureus.52082
PMID:38222985
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10784711/
Abstract

A 77-year-old woman exhibited a rapid progression of dementia and declining physical function and, over a period of about four months, reached a state of akinetic mutism. A final diagnosis of Creutzfeldt-Jakob disease (CJD) was made. A nasogastric tube was inserted into the stomach, and then it was confirmed on X-ray that the end of the tube was in the correct position. She was discharged to a nursing home, where she received home medical care after discharge. One month after the nasogastric tube insertion, Tumguide® was used to assist in replacing the tube at this home. In home care settings where an X-ray machine may not be available, Tumguide® may assist with nasogastric tube insertion.

摘要

一名77岁女性出现痴呆快速进展且身体功能下降，在约四个月的时间里进入运动不能性缄默状态。最终诊断为克雅氏病（CJD）。一根鼻胃管插入胃内，随后经X线确认管子末端位置正确。她被转至一家疗养院，出院后在那里接受家庭医疗护理。鼻胃管插入一个月后，在这家疗养院使用Tumguide®辅助更换管子。在可能没有X光机的家庭护理环境中，Tumguide®可辅助进行鼻胃管插入。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57f8/10784711/a9a5de1a7f93/cureus-0016-00000052082-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57f8/10784711/ea0df87d730e/cureus-0016-00000052082-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57f8/10784711/cf8f147bed49/cureus-0016-00000052082-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57f8/10784711/c30397a03752/cureus-0016-00000052082-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57f8/10784711/a9a5de1a7f93/cureus-0016-00000052082-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57f8/10784711/ea0df87d730e/cureus-0016-00000052082-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57f8/10784711/cf8f147bed49/cureus-0016-00000052082-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57f8/10784711/c30397a03752/cureus-0016-00000052082-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57f8/10784711/a9a5de1a7f93/cureus-0016-00000052082-i04.jpg

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本文引用的文献

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PLoS One. 2023 Dec 7;18(12):e0295415. doi: 10.1371/journal.pone.0295415. eCollection 2023.
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Biologically transparent illumination is a safe, fast, and simple technique for detecting the correct position of the nasogastric tube in surgical patients under general anesthesia.生物透明照明是一种用于在全身麻醉下检测外科手术患者鼻胃管正确位置的安全、快速且简单的技术。
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