CAJ | 학술논문

目的回顾性分析总结DSA影像监视下放置鼻肠营养管建立肠内营养的技术.方法 441例患者置入鼻肠营养管.鼻、叫部喷雾麻醉后,存DSA影像监视下,经导丝引导导管依次经鼻、咽、食管、胃、幽门、十二指肠各部使导管头端位于水平部,置换入加硬导丝沿加硬导丝送入鼻肠营养管并将其头端送至屈氏韧带以下20～30 cm.结果全部病例平均在5 min内成功放置肠道营养管,营养管位置满意,无一例出现并发症.结论应用DSA影像监视能够快速、简便、安全的放置鼻肠营养管,成功率高,患者无痛苦,值得临床推广应用.
목적 회고성분석총결DSA영상감시하방치비장영양관건립장내영양적기술.방법 441례환자치입비장영양관.비、규부분무마취후,존DSA영상감시하,경도사인도도관의차경비、인、식관、위、유문、십이지장각부사도관두단위우수평부,치환입가경도사연가경도사송입비장영양관병장기두단송지굴씨인대이하20～30 cm.결과 전부병례평균재5 min내성공방치장도영양관,영양관위치만의,무일례출현병발증.결론 응용DSA영상감시능구쾌속、간편、안전적방치비장영양관,성공솔고,환자무통고,치득림상추엄응용.
Objective To retrospectively analyze and summarize the manipulation and skills of the placement of uaso-jejunal feeding tube under DSA guidance. Methods After performing the spraying anesthesia of nasopharynx, the naso-jejunal feeding tube, with the help of guide wire and under DSA guidance, was placed into the proximal jejunum by passing it through the nose, pharynx, esophagus, stomach,pylorus and duodenum in order. The procedure was employed in 441 cases. Results The mean time for performing the procedure was within five minutes. The procedure was successfully accomplished in all 441 cases and no complications occurred in this series. Conclusion Under DSA guidance the placement of nasojejunal feeding tube can be safely and quickly carried out with high successful rate and less sufferings to patient. It is worth popularizing this technique in clinical practice.