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一例在常规鼻胃管拔除过程中出现的非典型情况的病例报告。

A Case Report of an Atypical Situation Arising During Typical Ryle's Tube Removal Procedure.

作者信息

Gupta Priyanshi, Vyas Pratibha, Soni Nikhil Kumar

机构信息

Department of ENT, Mahatma Gandhi University of Medical Sciences and Technology (MGUMST), Sitapura, Jaipur, Rajasthan 302022 India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):1118-1120. doi: 10.1007/s12070-023-04147-9. Epub 2023 Aug 25.

Abstract

Placement of Ryle's tube is a rather blind outpatient procedure which has documented minor and major complications during insertion like nasal irritation, epistasis, pharyngeal trauma, tracheal trauma, intravascular penetration, intracranial penetration etc. However, removal of Ryle's tube is a rather straightforward procedure with rarely any complication. In this case report, we encountered an unusual situation of Ryle's tube being kinked and stuck at Left Fossa of Rosenmuller, near the skull base with subsequent erosion, emphasising the fact that forceful removal should not be attempted. Thorough examination and meticulous removal are necessitated in a stuck/kinked Ryle's tube to prevent dreaded complications.

摘要

插入鼻胃管是一种相当盲目的门诊操作,已有文献记载在插入过程中会出现轻微和严重的并发症,如鼻黏膜刺激、鼻出血、咽部创伤、气管创伤、血管内穿刺、颅内穿刺等。然而,拔除鼻胃管是一个相当简单的操作,很少有并发症。在本病例报告中,我们遇到了一种不寻常的情况,即鼻胃管在靠近颅底的罗森米勒窝左侧发生扭结并卡住,随后出现糜烂,这强调了不应试图强行拔除的事实。对于扭结或卡住的鼻胃管,必须进行全面检查并小心拔除,以防止出现可怕的并发症。

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