Grossman T W, Duncavage J A, Dennison B, Kay J, Toohill R J
Ann Otol Rhinol Laryngol. 1984 Sep-Oct;93(5 Pt 1):460-3. doi: 10.1177/000348948409300508.
The use of a new narrow bore nasogastric feeding tube with stylet has resulted in two cases of misplacement with traumatic laceration of the visceral pleura. Diagnoses were made by chest x-ray film, one case immediately and the other 24 hours later. In both cases, the narrow bore tube was inserted asymptomatically by a graduate physician. Detailed case reports of both patients are presented, those patients at risk for abnormal placement of this nasogastric tube are discussed, and new guidelines for safer use are proposed.
使用带有管芯的新型细径鼻胃饲管已导致两例内脏胸膜创伤性撕裂的误置情况。通过胸部X光片进行诊断，一例立即确诊，另一例在24小时后确诊。在这两例中，细径管均由一名住院医师在无症状的情况下插入。文中呈现了两位患者的详细病例报告，讨论了使用这种鼻胃管发生异常置管的高危患者，并提出了更安全使用的新指南。
