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鼻胃管置入术的并发症——食管穿孔和硬膜外气肿

Esophageal perforation and epidural emphysema as complications of nasogastric tube placement.

作者信息

Ito Yusuke, Mizumoto Junki

机构信息

Department of Family Practice Azusawa Hospital Tokyo Japan.

Department of Family Practice Ehime Seikyo Hospital Matsuyama Ehime Japan.

出版信息

J Gen Fam Med. 2024 Oct 24;26(1):98-99. doi: 10.1002/jgf2.743. eCollection 2025 Jan.

DOI:10.1002/jgf2.743
PMID:39776884
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11702428/
Abstract

We present a 72-year-old man with end-stage renal disease and Hashimoto encephalopathy in whom a diagnosis of epidural emphysema because of esophageal perforation by a nasogastric tube placement. Although its imaging findings may be alarming to clinicians, close monitoring and conservative treatment are advisable.

摘要

我们报告一名72岁患有终末期肾病和桥本脑病的男性患者，其因鼻胃管置入导致食管穿孔而诊断为硬膜外气肿。尽管其影像学表现可能令临床医生感到担忧，但密切监测和保守治疗是可取的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/726e/11702428/ac5260f37834/JGF2-26-98-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/726e/11702428/ac5260f37834/JGF2-26-98-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/726e/11702428/ac5260f37834/JGF2-26-98-g001.jpg

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本文引用的文献

1
Risk of perforation in balloon dilation associated with steroid injection for preventing esophageal stricture after endoscopic submucosal dissection.内镜黏膜下剥离术后为预防食管狭窄进行球囊扩张联合类固醇注射时的穿孔风险。
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A case report of esophageal perforation: Complication of nasogastric tube placement.一例食管穿孔病例报告：鼻胃管置入的并发症
Am J Case Rep. 2014 Apr 26;15:168-71. doi: 10.12659/AJCR.890260. eCollection 2014.
3
A case of spontaneous extracranial epidural emphysema.
一例自发性颅外硬膜外气肿。
Med Princ Pract. 2014;23(2):177-9. doi: 10.1159/000353465. Epub 2013 Aug 13.
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Extracranial epidural emphysema: pathway, aetiology, diagnosis and management.颅外硬脑膜外气肿：途径、病因、诊断和治疗。
Br J Radiol. 2011 Jun;84(1002):570-5. doi: 10.1259/bjr/79263160. Epub 2011 Feb 22.
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Pathogenesis, diagnosis and management of pneumorrhachis.脊髓积气的发病机制、诊断与治疗
Eur Spine J. 2006 Oct;15 Suppl 5(Suppl 5):636-43. doi: 10.1007/s00586-006-0160-6. Epub 2006 Jul 12.
6
Evolving options in the management of esophageal perforation.食管穿孔治疗方法的不断演变
Ann Thorac Surg. 2004 Apr;77(4):1475-83. doi: 10.1016/j.athoracsur.2003.08.037.