经内镜十二指肠营养管置放术在重度昏迷气管切开气管插管患者的应用价值

The Value of Endoscopic Duodenal Feeding Tube Placement in Severe Coma Patients with Endotracheal Tube by Tracheostomy

目的探讨经内镜十二指肠营养管置放术在重度昏迷气管切开气管插管患者的应用价值。方法对28例已行气管切开气管插管的重度昏迷患者进行经内镜十二指肠营养管置放术。结果本组28例患者经内镜十二指肠营养管置放术均获成功,术中未发生任何经内镜十二指肠营养管置放术相关性并发症。所有患者在术后立即恢复了胃肠营养。十二指肠营养管置放术最长用时为31min,最短仅8min,平均16min。患者平均带管时间为73(7～218)d。所有患者仅1例发生营养管堵塞、脱管等现象。无一例出现通过十二指肠营养管注入的营养物或药物的反流。结论对于重度昏迷已行气管切开气管插管的患者,经内镜十二指肠营养管置放术是一种有效、简便、安全的建立胃肠营养的方法。

Objective To explore the value of endoscopic duodenal feeding tube placement in severe coma patients with endotracheal tube by tracheostomy. Methods 28 patients, who suffered from severe coma with endotracheal tube by tracheostomy, received endoscopic duodenal feeding tube placement. Results Endoscopic duodenal feeding tube placement in all 28 patients was successful, and complications such as tube blocking or dropping occurred only in one patient. The average time of placing duodenal feeding tube was 16 min. Conclusion Endoscopic duodenal feeding tube placement was an effective, simple,convenient and safe way to set up enteral nutrition for severe coma patients with endotracheal tube by tracheostomy.