Idu S R, van de Leur J J
Academisch Ziekenhuis, afd. Intensive Care, Nijmegen.
Ned Tijdschr Geneeskd. 1998 Jan 17;142(3):142-5.
A 74-year-old man was admitted with respiratory insufficiency and required mechanical ventilation. Enteral nutrition was given via a nasogastric feeding tube, but persistent food retention occurred. The chest X-ray showed the nasogastric tube to be in the right pleural space. After the tube was withdrawn the patient developed a tension pneumothorax and a closed-tube thoracostomy was performed. The patient's recovery was uneventful, with resolution of the pneumothorax. It is necessary to be alert with respect to the tube position, which, if doubtful, should be checked by chest X-ray. Recognition of an aberrant position is necessary to minimize related morbidity.
一名74岁男性因呼吸功能不全入院，需要机械通气。通过鼻胃饲管给予肠内营养，但出现持续的食物潴留。胸部X线显示鼻胃管位于右侧胸腔。拔出鼻胃管后，患者发生张力性气胸，并进行了胸腔闭式引流术。患者恢复顺利，气胸得到缓解。必须警惕鼻胃管的位置，如有疑问，应通过胸部X线检查。识别异常位置对于将相关发病率降至最低很有必要。
