肠内营养管介入置入法51例经验总结

目的探讨x线透视下肠内营养管的置入及其临床应用价值。方法从2000年2月～2010年10月,51例患者在X线透视下行经鼻腔肠内营养管置入于十二指肠空肠连接部或空肠上段。所涉病人为食管癌术后吻合口瘘患者7例、晚期上段食道癌18例、脑血管病人吞咽困难15例、食管自发破裂3例、急性胰腺炎8例。结果 51例患者均1次成功置入十二指肠营养管,成功率100%。置管时间为5～20min,平均8min。置管操作及使用过程中未出现心律失常、误插、吸入性肺炎、会厌功能紊乱等并发症。经肠内营养管注入营养液,患者机能改善明显,体重增加,延长了病人的寿命,减轻了家庭的经济负担,效果满意。结论 X线透视下经鼻腔肠内营养管置入是一种安全、经济、有效的肠内营养途径,具有广泛的临床应用价值。

Objective To explore the X-ray fluoroscopy enteral nutrition tube placement and its clinical application value. Methods From February 2000 to October in 2010, 51 patients in X-ray fluoroscopy through nasal QiangChang nutrition tube placement within in duodenum jejunum fitting. Or jejunal jodan. Involved in the patient as after esophagectomy anastomotic fistula in 7 cases, adanced jodan esophageal cancer in 18 cases, cerebral patients dysphagia in 15 cases, esophageal spontaneous rupture 3 cases, 8 cases of acute pancreatitis. Results 51 patients are 1 times successful placement duodenal nutrition tube, successful rate was 100%. Catheter time for 5 ~ 8 min 20min, on average. Catheter operation and use process does not appear arrhythmia, mistakenly plug, aspiration pneumonia, epiglottis dysfunction complication. By enteral nutrition tube, patients were injected nutrient function improved, weight gain and prolong the patient＇s life, reduce chat economic burden of the family, the result is satisfactory. Conclusion X-ray fluoroscopy nasal QiangChang inside nutrition tube placement is a safe, economic and effective enteral nutrition approaches, and has an extensive value of clinical application.