CAJ | 학술논문

目的：探讨数字减影血管造影(DSA)影像监视导丝引导下经鼻放置空肠营养管置管困难解决方案。方法112例患者中71例于 DSA 监视下行经鼻空肠营养管常规法置入困难,根据不同情况,综合运用缩小胃腔、变换体位、导管辅助和借助胃肠蠕动等多种方法进行鼻肠营养管置入。评价置管成功率。结果一次性置管成功率100%,无1例患者出现咽部损伤,消化道穿孔、出血等并发症情况。透视时间2~7 min,平均4 min。结论对于营养管置管困难患者,综合利用多种操作方法,可以提高置管成功率,缩短置管时间。
목적：탐토수자감영혈관조영(DSA)영상감시도사인도하경비방치공장영양관치관곤난해결방안。방법112례환자중71례우 DSA 감시하행경비공장영양관상규법치입곤난,근거불동정황,종합운용축소위강、변환체위、도관보조화차조위장연동등다충방법진행비장영양관치입。평개치관성공솔。결과일차성치관성공솔100%,무1례환자출현인부손상,소화도천공、출혈등병발증정황。투시시간2~7 min,평균4 min。결론대우영양관치관곤난환자,종합이용다충조작방법,가이제고치관성공솔,축단치관시간。
Objective To solve the difficulty of intubation of nasojejunal feeding tube under digital subtraction angiography (DSA) system when conventional methods were failed.Methods Seventy-one patients who failed to place the nasojejunal feeding tube by single guide wire under DSA conventional methods.With the methods of decreasing the stomach volume,changing the body posi-tion,and using a catheter or gastrointestinal motility,the nasojejunal feeding tube was placed into the proper position (more than 30cm far away from Treitz or gastrointestinal anastomosis).Results All the procedures were successfully accomplished.No compli-cations,such as throat damage,abdominal pain,perforation and hemorrhage of digestive tract were found.The mean duration under DSA was four minutes (2-7min).Conclusion With the help of various methods above,we can improve the success rate of intuba-tion and reduce the duration of the nasojejunal feeding tube placement,when conventional methods were failed.