CAJ | 학술논문

目的探讨三腔二囊管气囊放气润滑改良方法在食管胃底静脉曲张破裂大出血不能主动吞咽患者中的应用效果。方法对27例食管胃底静脉曲张消化道大出血不能主动吞咽患者，在三腔二囊管置管期间采用改良后气囊放气润滑方法。结果本组27例患者，三腔二囊管置管时间3～6 d，无1例发生消化道黏膜损伤及误吸的发生。结论改良气囊放气润滑方法能有效避免三腔二囊管压迫止血过程中，消化道黏膜损伤及误吸的发生。
목적탐토삼강이낭관기낭방기윤활개량방법재식관위저정맥곡장파렬대출혈불능주동탄인환자중적응용효과。방법대27례식관위저정맥곡장소화도대출혈불능주동탄인환자，재삼강이낭관치관기간채용개량후기낭방기윤활방법。결과본조27례환자，삼강이낭관치관시간3～6 d，무1례발생소화도점막손상급오흡적발생。결론개량기낭방기윤활방법능유효피면삼강이낭관압박지혈과정중，소화도점막손상급오흡적발생。
Objective To study the effect of modified air bag deflation lubrication by Sengstaken-Blakemore tube on voluntary dysphagia induced by esophageal variceal bleeding.Method Twenty seven patients with voluntary dysphagia induced by esophageal and gastric variceal bleeding were managed with modified air bag deflation lubrication with Sengstaken-Blakemore tube.Results The indwelling time for the Sengstaken-Blakemore tube was 3~6 d.There was no complication of gastrointestinal mucosal injury and aspiration complications.Conclusion The modified air bag deflation lubrication by Sengstaken-Blakemore tube may effectively avoid the complications by hemostasis with Sengstaken-Blakemore tube.