盲视放置鼻空肠管在重症患者中的临床应用

Clinical Applications of the Placement of Blind Nasal Jejunal Tube in Critically Ill Patients

目的:探讨放置鼻空肠管在临床上抢救危重病人时解决肠内营养问题,防止食物返流、误吸,减少吸入性肺炎发生,减轻腐蚀性毒物中毒所致食道狭窄的临床应用效果。方法:对各种危重病人进行手法盲插留置螺旋型鼻空肠管,实施早期肠内营养支持治疗。结果:通过手法盲插留置螺旋型鼻空肠管,成功率较高,对病人损伤小。结论:通过留置鼻空肠管对各种重症患者进行营养支持治疗,可改善重症患者的预后,提高治愈率和存活率,是临床具有实用性意义的研究。

Objective： The placement of blind nasal jejunal tube which is a treatment for critically ill patients could solve the problem of enteral nutrition,protect the food from regurgitation and aspiration,reduce aspiration pneumonia,as well as the corrosive esophageal stricture caused by toxic poisoning.Methods： Blind insertion technique of spiral nasal jejunal tube,together with early enteral nutrition therapy,was applied to various patients.Results： Blind insertion technique of spiral nasal jejunal tube had higher concordant and less injury.Conclusion： Blind insertion technique of spiral nasal jejunal tube,which was a clinical research with practical significance,could be used to all kinds of critically ill patients support nutrition,improve prognosis,cure rate and survival rate.