CAJ | 학술논문

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3～5μg· 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。
목적：탐토재ICU환자중경위경인도비공장관치관건립장내영양도경적방법。방법：초세위경순비강진경，직시인도비공장관치입，이용Seldinger법장기송지Treitz인대이하。결과：본조23례경초세위경인도비공장관치관균획성공，평균치관시간10 min。기중2례치관과정중출현혈압하강，여다파알3～5μg· kg -1· min-1정맥빙입즉가규정。3례환자치관성공량주후비장관탈출，여재차치관。소유환자술후균무엄중병발증。결론：초세위경인도비공장영양관치관재ICU환자중유교호적응용개치。
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 .