Krauland W, Schneider S
HNO. 1983 Jul;31(7):247-51.
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.
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。