X线辅助超滑导丝法置鼻空肠营养管

The fluoroscopically stiff type guide wire aided placing of nasointestinal feeding tube

目的:解决上消化道存在功能和(或)解剖连续性中断的病人实施非永久性肠内营养支持的途径问题.方法:采用X线辅助超滑导丝法置鼻空肠营养管.结果:置管成功率为97.96%,操作时间为5～11(平均7.4±2.8)min;导管位置全部符合临床实施肠内营养支持要求,导管留置时间为28～92(平均84.4±7.2)天.置管、导管留置、经导管实施肠内营养支持过程中所有病人耐受良好,无不适及并发症发生.结论:X线辅助超滑导丝法置鼻空肠营养管,是解决上消化道存在功能和(或)解剖连续性中断的病人实施非永久性肠内营养支持途径问题的首选之道.

Objective：To set up the path of volatile enteral nutrition in patients with discontinuity of anatomy and/or function of the uper digestive tract. Methods ： By the method of fluoroscopically stiff type guide wire, placing of nasointestinal feeding tube was accomplished in 147 cases. Results：The success ratio was 97.96% and the location of cusp of the feeding tube was suitable for enteral nutrition. The time of placing tube was from 5 to 11 （7.4 ± 2.8 ） min and the indwelling time of the tube was from 28 to 92 （84.4 ± 7.2 ） d. No any discomfort and complication happened during the placement and use of the nasointestinal feeding tube. Conclusion ： The fluoroscopicaily stiff type guide wire aided placing of nasointestinal feeding tube is the first choice of setting up the path of volatile enteral nutrition in patients with discontinuity of anatomy and/or function of the upper digestive tract.