Nasopulmonary intubation with feeding tubes: case reports and review of the literature.
Nasopulmonary intubation with feeding tubes: case reports and review of the literature.
复制标题
带饲管的鼻肺插管：病例报告和文献综述。
DOI：
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发表时间：
1985
期刊：
影响因子：
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通讯作者：
A. Arabian
中科院分区：
文献类型：
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作者：
T. Lipman;T. Kessler;A. Arabian
肺吸入变质的营养物质是公认的经营养管进行肠内营养的并发症。鼻饲管插管的报告很少。我们提出了两个病人这样的并发症。在1例患者中，鼻插管导致气胸。另一例未识别的错位导致肺炎和胸腔积液。讨论了文献中类似的案例。这种并发症的常见特征是：（1）患者迟钝、虚弱或无咽反射;（2）先前成功插入导管;（3）成功通过气管内导管和气管造口术;（4）左上象限的吹入空气听诊阳性。完全预防这种并发症可能是不可能的，但医护人员应该意识到这种潜在的问题，在病人的风险。
Pulmonary aspiration of regurgitated feeding material is a recognized complication of enteral nutrition by feeding tube. Nasopulmonary intubation with feeding tubes has been reported infrequently. We present two patients with such complications. In one, nasopulmonary intubation resulted in a pneumothorax. In the other unrecognized misplacement resulted in pneumonia and hydrothorax. Similar cases in the literature are discussed. Common features of this complication are: (1) patients who are obtunded, debilitated, or without gag reflex; (2) previous successful insertion of a tube; (3) successful passage past endotracheal tubes and tracheostomies; and (4) positive auscultation of insufflated air over the left upper quadrant. Complete prevention of this complication probably is not possible, but health care personnel should be aware of this potential problem in the patient at risk.