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[躁动及不合作患者鼻胃管的固定]

[Fixation of nasogastric tubes in agitated and uncooperative patients].

作者信息

della Faille D, Hartoko T, Vandenbroucke M, Brands C, Schmelzer B, de Deyn P P

机构信息

Middelneim hospital, ENT department, Answerp, Belgium.

出版信息

Rev Laryngol Otol Rhinol (Bord). 1998;119(1):59-61.

PMID:9770046
Abstract

To prevent extubation, nasogastric tubes (NGT) were attached to a fine bore polyurethane tube, which loops loosely around the nasal septum. In a prospective study 180 cases were evaluated concerning the efficacy and possible complications related to this techniques. On average, a nasal septal loop (NSL) remained 20.1 +/- 1.3 days and a NGT 14 +/- 0.9 days. Complications were rare. In 45 of the cases NGT had to be replaced after self extubation and in 2.2% extubation presented more than twice. We think NSL is an easy and useful technique to secure NGT in non-cooperative and/or agitated patients for a relatively short term enteral nutrition or gastric decompression.

摘要

为防止鼻胃管(NGT)拔管,将其连接至一根细孔聚氨酯管,该管在鼻中隔周围松散地环绕。在一项前瞻性研究中,对180例患者评估了该技术的疗效及可能的并发症。平均而言,鼻中隔环(NSL)留置20.1±1.3天,鼻胃管留置14±0.9天。并发症少见。45例患者的鼻胃管在自行拔管后需要更换,2.2%的患者出现超过两次拔管情况。我们认为鼻中隔环是一种简便且有用的技术,可在非合作和/或躁动患者中用于短期肠内营养或胃肠减压时固定鼻胃管。

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