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[鼻胃管插管期间颅底穿孔]

[Perforation of the skull base during nasogastric intubation].

作者信息

Krauland W, Schneider S

出版信息

HNO. 1983 Jul;31(7):247-51.

PMID:6885530
Abstract

The skull base was perforated and extensive wounds occurred in the brain during the passage of a nasogastric tube on a 48 year old woman, under general anaesthetic. The patient was treated by artificial respiration but died on the 14th day. The site of entry was the sphenoid sinus. False passage of the tube was favoured by a marked septal deviation, underdevelopment of the turbinates, and a high-grade pneumatisation of the paranasal sinus. 10 more cases of intracranial passage of a nasogastric tube were found in the literature.

摘要

在全身麻醉下,为一名48岁女性插入鼻胃管时,颅底穿孔,脑部出现大面积创伤。患者接受了人工呼吸治疗,但在第14天死亡。插入部位为蝶窦。鼻中隔明显偏曲、鼻甲发育不全以及鼻窦高度气化有利于鼻胃管误入。文献中还发现了另外10例鼻胃管颅内插入的病例。

相似文献

1
[Perforation of the skull base during nasogastric intubation].[鼻胃管插管期间颅底穿孔]
HNO. 1983 Jul;31(7):247-51.
2
Inadvertent insertion of nasogastric tube into the brain.鼻胃管意外插入脑部。
J Assoc Physicians India. 2004 Apr;52:322-3.
3
Intracranial placement of a nasogastric tube. A lesson to be re-learnt?鼻胃管颅内置入。需要重新吸取的教训?
Acta Neurochir (Wien). 2005 May;147(5):573-4; discussion 574. doi: 10.1007/s00701-004-0463-5.
4
Intracranial placement of a nasogastric tube after complex craniofacial trauma.复杂颅面创伤后鼻胃管的颅内放置
Ear Nose Throat J. 1993 Dec;72(12):800-2.
5
Intracranial placement of a nasogastric tube after severe craniofacial trauma.严重颅面创伤后鼻胃管的颅内放置
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000 Nov;90(5):564-6. doi: 10.1067/moe.2000.110032.
6
Lethal complication from insertion of nasogastric tube after severe basilar skull fracture.严重颅底骨折后插入鼻胃管导致的致命并发症。
J Trauma. 1978 Dec;18(12):820-2. doi: 10.1097/00005373-197812000-00009.
7
Inadvertent insertion of a nasogastric tube into the brain: case report and review of the literature.意外将鼻胃管插入大脑:病例报告及文献复习。
Clin Imaging. 2012 Sep-Oct;36(5):587-90. doi: 10.1016/j.clinimag.2011.12.020. Epub 2012 Jun 8.
8
A complication of nasogastric intubation: intracranial penetration.鼻胃管插管的一种并发症:颅内穿透。
J Trauma. 1978 Dec;18(12):823-4. doi: 10.1097/00005373-197812000-00010.
9
A case of nasogastric tube perforation of the nasopharynx causing a fatal mediastinal complication.一例鼻胃管穿破鼻咽部导致致命纵隔并发症的病例。
Ear Nose Throat J. 2009 Sep;88(9):E17-8.
10
Arterial-esophageal fistula: a complication of nasogastric tube placement after lumbar spine surgery: a case report.动脉-食管瘘:腰椎手术后鼻胃管置入的一种并发症:病例报告
Spine (Phila Pa 1976). 2003 Mar 1;28(5):E98-E101. doi: 10.1097/01.BRS.0000048658.09306.BD.

引用本文的文献

1
Delayed gastric perforation following nasogastric tube insertion: the pitfalls of radiographic confirmation.经鼻胃管插入后迟发性胃穿孔:影像学确认的陷阱。
BMJ Case Rep. 2021 Nov 17;14(11):e244824. doi: 10.1136/bcr-2021-244824.
2
Traumatic epistaxis: Skull base defects, intracranial complications and neurosurgical considerations.创伤性鼻出血:颅底缺损、颅内并发症及神经外科相关考量
Int J Surg Case Rep. 2013;4(8):656-61. doi: 10.1016/j.ijscr.2013.04.033. Epub 2013 May 21.
3
Inadvertent intracranial insertion of a soft rubber tube in a patient with Treacher-Collins syndrome: case report and review of literature.
患有特雷彻-柯林斯综合征的患者意外颅内插入软橡胶管:病例报告及文献综述
Childs Nerv Syst. 2008 May;24(5):609-13. doi: 10.1007/s00381-007-0554-8. Epub 2008 Jan 11.