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在上腹部手术中常规使用鼻胃管是否合理?

Is routine use of the nasogastric tube justified in upper abdominal surgery?

作者信息

Argov S, Goldstein I, Barzilai A

出版信息

Am J Surg. 1980 Jun;139(6):849-50. doi: 10.1016/0002-9610(80)90395-5.

DOI:10.1016/0002-9610(80)90395-5
PMID:7386740
Abstract

Three hundred patients who underwent upper abdominal operations were studied. One hundred fifty patients were treated by insertion of a nasogastric tube, and 150 patients were treated without it. The incidence of postoperative pneumonia was 10 times higher in the patients treated with a nasogastric tube. Pneumonia was directly related to the patient's age and the duration of the tube's use. In view of the disadvantages and complications of the nasogastric tube, its routine use appears unjustified. It should be reserved as a tool for treating postoperative complications such as paralytic ileus and acute gastric dilatation.

摘要

对300例行上腹部手术的患者进行了研究。150例患者通过插入鼻胃管进行治疗,150例患者未使用鼻胃管进行治疗。使用鼻胃管治疗的患者术后肺炎发生率高出10倍。肺炎与患者年龄及鼻胃管使用时长直接相关。鉴于鼻胃管的缺点和并发症,常规使用鼻胃管似乎不合理。它应留作治疗术后并发症如麻痹性肠梗阻和急性胃扩张的工具。

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