麻醉诱导期胃插管用于排空胃内液体内容物的不准确性。

Inaccuracy of peranesthetic gastric intubation for emptying liquid stomach contents.

作者信息

Adelhøj B, Petring O U, Hagelsten J O

出版信息

Acta Anaesthesiol Scand. 1986 Jan;30(1):41-3. doi: 10.1111/j.1399-6576.1986.tb02364.x.

DOI:10.1111/j.1399-6576.1986.tb02364.x

Abstract

To assess the accuracy of the method of peranesthetic gastric intubation for emptying the liquid stomach contents, this procedure was tried on 80 patients undergoing general anesthesia. Half of the patients had a double-barrelled 16F-Argyle Salem sump tube, length 120 cm, size 16 CH, and the other half had a single-barrelled stomach tube, length 80 cm, size 25 CH. After emptying the stomach with the tubes 25 ml of glucose was given through the gastric tube to half of the Salem tube group and half of the stomach tube group. Similarly 100 ml of glucose was given to half of the Salem tube group and half of the stomach tube group. After instillation of glucose 25 ml or 100 ml, the Salem tube recovered 21.0 +/- 9.1 ml (mean +/- s.d.), median 24 ml, range 6-36 ml or 86.8 +/- 26.9 ml, median 92 ml, range 18-136 ml, respectively, and the stomach tube 17.1 +/- 10.8 ml, median 18 ml, range 2-34 ml or 54.0 +/- 28.5 ml, median 50 ml, range 14-104 ml, respectively. This indicates that the method of gastric intubation for emptying the liquid stomach contents is inaccurate.

摘要

为评估麻醉期间胃插管排空胃内液体内容物方法的准确性，对80例接受全身麻醉的患者进行了该操作。一半患者使用双腔16F - 阿盖尔塞勒姆引流管，长度120 cm，管径16 CH；另一半患者使用单腔胃管，长度80 cm，管径25 CH。用这些管子排空胃后，给塞勒姆引流管组的一半患者和胃管组的一半患者通过胃管注入25 ml葡萄糖。同样，给塞勒姆引流管组的另一半患者和胃管组的另一半患者注入100 ml葡萄糖。在注入25 ml或100 ml葡萄糖后，塞勒姆引流管分别回收21.0±9.1 ml（均值±标准差），中位数24 ml，范围6 - 36 ml或86.8±26.9 ml，中位数92 ml，范围18 - 136 ml；胃管分别回收17.1±10.8 ml，中位数18 ml，范围2 - 34 ml或54.0±28.5 ml，中位数50 ml，范围14 - 104 ml。这表明胃插管排空胃内液体内容物的方法不准确。