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一名感染性休克患者鼻空肠管损伤相关的胃肠道出血:病例报告

Gastrointestinal Bleeding Associated With Nasojejunal Tube Injury in a Patient With Septic Shock: A Case Report.

作者信息

Zheng Zi-Cong, Wang Xiao-Ling, Fu Li

机构信息

Department of Clinical Nutrition, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, CHN.

Department of Intensive Care Unit, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, CHN.

出版信息

Cureus. 2025 Jul 24;17(7):e88691. doi: 10.7759/cureus.88691. eCollection 2025 Jul.

Abstract

This report presents a rare case of GI bleeding caused by nasojejunal feeding in a patient with type 2 diabetes mellitus and septic shock, complicated by multiple organ dysfunction syndrome (MODS). The case analyzes the underlying causes of recurrent GI bleeding and discusses the prevention and management of mechanical complications associated with enteral nutrition (EN), particularly mucosal injury caused by nasojejunal tubes. It emphasizes the necessity of modifying EN protocols for high-risk patients and offers suggestions for improvement.

摘要

本报告介绍了一例罕见病例,一名2型糖尿病合并感染性休克患者因鼻空肠喂养导致胃肠道出血,并伴有多器官功能障碍综合征(MODS)。该病例分析了反复胃肠道出血的潜在原因,并讨论了肠内营养(EN)相关机械并发症的预防和管理,特别是鼻空肠管引起的黏膜损伤。强调了针对高危患者修改EN方案的必要性,并提出了改进建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f998/12377242/46f7ae4406e6/cureus-0017-00000088691-i01.jpg

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