介入法引入空肠营养管在急性胰腺炎治疗中的应用

目的:介入方法引入空肠营养管,较早旷职胃及十二指肠,更有利于减轻重症急性胰腺炎的急速发展恶化,有效改善患者营养状况和预防感染等并发症,降低死亡率。方法:利用COOK超滑泥鳅导丝、加硬交换导丝,导管;口咽部1%地卡因局麻后,在岛津数字化胃肠机监视下,经口采用介入方法放置空肠营养管。结论:较早为重症急性胰腺炎患者放置空肠营养管,有利于改善营养,预防感染,减少重症急性胰腺炎的死亡率;该方法快捷、安全、准确有效。

Objective： Using jejunum feeding tube by interventional therapy can empty the stomach and duodenum as early as possible, which is more effective to relieve the rapid degeneration of severe acute pancreatitis （SAP）. The therapy can effectively improve the patient＇s nutrition, prevent infection and other complications and decrease the death rate as well. Methods：After local anesthesia of oropharynx by 1% dicaine, under the guidance of Daojin digitized stomach and intestine machine,with the help of COOk Canalizer, hardened exchange guidewire and canal, the jejunum feeding tube was placed into through the mouth. Conclusion： Placing jejunum feeding tube for the patients with SAP can improve patients＂ nutritional condition ,prevent infection and reduce the death rate of SAP. The therapy is fast, safe, effective and accurate.