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[术后间歇性胃吸引。新设备(作者译)]

[Intermittent postoperative gastric aspiration. New equipment (author's transl)].

作者信息

Guiset J, Patoir A, Roger J

出版信息

Nouv Presse Med. 1979 Oct 15;8(39):3161-2.

PMID:537875
Abstract

Gastric suction is prescribed routinely by some, even though it is responsible for complications which are sometimes extremely serious, such as haemorrhagic gastritis or even perforation. It is indicated in all cases of postoperative gastric ileus or of stenosis causing marked dilatation of the stomach. However, experience would tend to show that in addition to problems immediately secondary to the presence of the tube in the gastric lumen, it sometimes leads to a false sense of security since the apertures of the tube tend to suck in the mucosa, giving rise to a suction-like effect whilst the stomach remains full of fluid. In order to overcome this disadvantage, we have designed an apparatus which varies the times of suction over a selected period. It fills the troublesome role previously filled by nursing staff in confirming the satisfactory function of gastric tubes. Thus not only does the tube not become blocked but gastric transit is restored more rapidly which not only leads to savings in the cost of intensive care but offers additional technical security.

摘要

尽管胃吸引术会引发一些有时极为严重的并发症,如出血性胃炎甚至穿孔,但仍有部分人常规采用该方法。术后胃麻痹或因狭窄导致胃显著扩张的所有病例均适用此方法。然而,经验表明,除了胃管置于胃腔内直接引发的问题外,它有时还会导致一种虚假的安全感,因为胃管的孔往往会吸住黏膜,在胃内仍充满液体时产生类似抽吸的效果。为克服这一缺点,我们设计了一种能在选定时间段内改变抽吸时间的装置。它取代了护理人员之前在确认胃管功能正常方面所扮演的麻烦角色。这样一来,不仅胃管不会堵塞,而且胃的排空恢复得更快,这不仅能节省重症监护成本,还能提供额外的技术保障。

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