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肠内管饲的胸膜肺部并发症。两份报告、文献综述及建议。

Pleuropulmonary complications of enteral tube feedings. Two reports, review of the literature, and recommendations.

作者信息

Miller K S, Tomlinson J R, Sahn S A

出版信息

Chest. 1985 Aug;88(2):230-3. doi: 10.1378/chest.88.2.230.

DOI:10.1378/chest.88.2.230
PMID:3926393
Abstract

Enteral tube feeding is an attractive alternative to intravenous alimentation for nutritional support. As previously used nasogastric tubes have been replaced with narrow-bore nasogastric tubes, the spectrum of complications seen with these devices has changed. We report a previously undescribed event associated with narrow-bore nasogastric tube feeding, review the literature, noting predisposing factors and complications, and suggest guidelines to avoid pitfalls of insertion and the ensuing adverse effects.

摘要

肠内管饲是一种有吸引力的替代静脉营养支持的方法。由于以前使用的鼻胃管已被细孔鼻胃管所取代,这些装置所出现的并发症谱也发生了变化。我们报告了一起与细孔鼻胃管饲相关的此前未描述的事件,回顾了文献,指出了易感因素和并发症,并提出了避免插管失误及后续不良反应的指南。

相似文献

1
Pleuropulmonary complications of enteral tube feedings. Two reports, review of the literature, and recommendations.肠内管饲的胸膜肺部并发症。两份报告、文献综述及建议。
Chest. 1985 Aug;88(2):230-3. doi: 10.1378/chest.88.2.230.
2
Inadvertent transbronchial insertion of narrow-bore feeding tubes into the pleural space.意外经支气管将细孔饲管插入胸膜腔。
JAMA. 1984 May 11;251(18):2396-7.
3
Dangers of placement of narrow bore nasogastric feeding tubes.细径鼻胃饲管放置的风险
Ann R Coll Surg Engl. 1987 May;69(3):119-21.
4
Complications associated with a narrow bore nasogastric tube.与细孔鼻胃管相关的并发症。
Ann Otol Rhinol Laryngol. 1984 Sep-Oct;93(5 Pt 1):460-3. doi: 10.1177/000348948409300508.
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Case series: Tension pneumothorax complicating narrow-bore enteral feeding tube placement.病例系列:窄口径肠内喂养管置管并发张力性气胸。
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Pleuropulmonary complications of fine bore naso-enteric feeding tubes.细径鼻肠饲管的胸膜肺部并发症
Aust N Z J Surg. 1991 Jan;61(1):39-42. doi: 10.1111/j.1445-2197.1991.tb00124.x.
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Bronchopleural complications of nasogastric feeding tubes.鼻胃饲管的支气管胸膜并发症。
Crit Care Med. 1986 Oct;14(10):892-4. doi: 10.1097/00003246-198610000-00013.
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[Lung perforation by a small-bore enteral feeding tube].[小口径肠内营养管致肺穿孔]
Rev Invest Clin. 1992 Apr-Jun;44(2):255-8.
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Incorrect positioning of nasogastric feeding tubes and the development of pneumothorax.鼻胃饲管位置不当与气胸的发生
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Pneumothorax complicating small-bore nasogastric feeding tube insertion.气胸并发细孔鼻胃饲管插入术
J Am Geriatr Soc. 1987 Dec;35(12):1130-1. doi: 10.1111/j.1532-5415.1987.tb04932.x.

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Using ultrasonography for verifying feeding tube placements in cats.使用超声检查法来验证猫饲管的放置位置。
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Iatrogenic empyema secondary to the malposition of a nasogastric tube.鼻胃管位置不当继发的医源性脓胸
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"Nutrothorax" complicating a misplaced nasogastric feeding tube in a severely ill patient.“营养性胸廓”使一名重症患者的鼻胃饲管位置不当的情况复杂化。
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4-Point ultrasonography to confirm the correct position of the nasogastric tube in 114 critically ill patients.采用四点超声检查法确定114例危重症患者鼻胃管的正确位置。
J Ultrasound. 2016 Oct 28;20(1):53-58. doi: 10.1007/s40477-016-0219-0. eCollection 2017 Mar.
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Bronchial nasoenteric tube misplacement: Effective prevention, prompt recognition, and patient safety considerations.支气管鼻肠管误置:有效的预防、及时的识别及患者安全考量
Int J Crit Illn Inj Sci. 2016 Jul-Sep;6(3):156-160. doi: 10.4103/2229-5151.190658.
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Nasopharyngeal perforation by a new electromagnetically visualised enteral feeding tube.一种新型电磁可视化肠内营养管导致的鼻咽穿孔
BMJ Case Rep. 2013 May 23;2013:bcr2013009807. doi: 10.1136/bcr-2013-009807.
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Accurate localization of the position of the tip of a naso/orogastric tube in children; where is the location of the gastro-esophageal junction?经鼻/经口胃管尖端在儿童体内位置的精确定位;胃食管连接部位于何处?
Pediatr Radiol. 2011 Oct;41(10):1266-71. doi: 10.1007/s00247-011-2137-9. Epub 2011 May 24.
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Interventional upper endoscopy: the adult perspective.介入性上消化道内镜检查:成人视角
Curr Gastroenterol Rep. 2006 Dec;8(6):443-9. doi: 10.1007/s11894-006-0033-5.
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Accepting death without artificial nutrition or hydration.
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