超细胃镜引导鼻空肠管置入在ICU患者中的应用-东南大学学报医学版

超细胃镜引导鼻空肠管置入在ICU患者中的应用

单位：1. 南京市市级机关医院重症医学科, 江苏南京 210018;
2. 南京市市级机关医院消化内科, 江苏南京 210018;
3. 东南大学附属中大医院消化内科, 江苏南京 210009

分类号：R459.9

出版年·卷·期（页码）：2013·32·第六期（759-761）

摘要：

目的：探讨在ICU患者中经胃镜引导鼻空肠管置管建立肠内营养途径的方法。方法：超细胃镜循鼻腔进镜，直视引导鼻空肠管置入，利用Seldinger法将其送至Treitz韧带以下。结果：本组23例经超细胃镜引导鼻空肠管置管均获成功，平均置管时间10 min。其中2例置管过程中出现血压下降，予多巴胺3~5 μg·kg^-1·min^-1静脉泵入即可纠正。3例患者置管成功两周后鼻肠管脱出，予再次置管。所有患者术后均无严重并发症。结论：超细胃镜引导鼻空肠营养管置管在ICU患者中有较好的应用价值。

Objective: To investigate the path of enteral nutrition by endoscopic placement of naso-jejunal feeding tubes in ICU. Methods: gastroscope-guided naso-jejunal feeding tubes were placed by guide wire. Using Seldinger method, send it through the Treitz ligament. Results: Naso-jejunal feeding tubes placement were performed successfully in all the 23 patients.The success rate was 100%. Two cases had lower blood pressure, by giving the dopamine pumping(3~5 μg·kg^-1·min^-1), hypotension was corrected. Three tubes dropped off two weeks later,and were replaced successfully. There were no severe complications. Conclusion: Ulfra-fine endoscopic placement of naso-jejunal tubes is simple,feasible,and suitable for the patients in ICU.

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