Hand R W, Kempster M, Levy J H, Rogol P R, Spirn P
JAMA. 1984 May 11;251(18):2396-7.
Four patients had soft, narrow-bore feeding tubes passed transbronchially into the pleural space. Guide wires were used to aid passage and may have contributed to this complication. The errant positioning of the tube was first noted roentgenographically in each case. Alternate methods of inserting such tubes in patients with altered airway and swallowing reflexes may be needed. Radiographic confirmation of the tube's position is essential before starting tube feedings.
4例患者经支气管将柔软、细孔径的饲管插入胸膜腔。使用导丝辅助插入，这可能是导致该并发症的原因之一。每例患者均首先通过X线检查发现饲管位置异常。对于气道和吞咽反射改变的患者，可能需要采用其他方法插入此类饲管。开始管饲前，通过影像学确认饲管位置至关重要。
