经胃镜结合缝线捆绑快速放置鼻空肠营养管应用体会 - 海南医学.pdf

娴峰崡鍖诲2016 骞? 鏈堢27 鍗风6 鏈 Hainan Med J, Mar. 2016, Vol. 27, No. 6 doi:10.3969/j.issn.1003-6350.2016.06.042 路涓村簥缁忛獙路 缁忚儍闀滅粨鍚堢紳绾挎崋缁戝揩閫熸斁缃蓟绌鸿偁钀ュ吇绠″簲鐢ㄤ綋浼 1 2 榛勫痉鏃 锛屾鎸澃 1 2 (姊у窞甯傜孩鍗佸瓧浼氬尰闄㈡秷鍖栧唴绉 銆侀噸鐥囧尰瀛︾ 锛屽箍瑗 姊у窞 543002) 銆愭憳瑕併€ 鐩殑 鎺㈣鑳冮暅涓嬫斁缃蓟绌鸿偁钀ュ吇绠＄殑鏂规硶鍙婂簲鐢ㄦ晥鏋溿€傛柟娉 缁?012 骞? 鏈堣嚦2015 骞? 鏈堟湰闄 28 渚嬪洜鐤剧梾涓嶉€傚疁缁忓彛鑳冭繘椋熶笖涓嬫秷鍖栭亾鏃犳闃汇€侀渶杩涜鑲犲唴钀ュ吇鎮ｈ€呮斁缃蓟绌鸿偁绠°€傚厛鍦ㄩ蓟绌鸿偁绠℃彃鍏ョ灏忓瓟 鏃佸鎹嗙粦鎵庣揣缂濈嚎锛屾瘡闅?0 cm 澶勭敤鍚屾牱鏂规硶鎹嗙粦鎵庣揣缂濈嚎鍏? 澶勶紝鐣欏嚭绾垮ご2~3 cm 锛屽苟鍦ㄥ叾涓垎娈电粨鎵? 涓粨锛屽湪 鎻掑叆绔皬瀛旂浉闂? cm 鍓? 涓皬渚у瓟锛屽弽澶嶅娆＄敤娲绘閽抽挸澶圭紳绾垮湪鑳冮暅寮曞涓嬪皢榧荤┖鑲犵閫佽嚦鍗佷簩鎸囪偁闄嶆杩滃銆 缁撴灉 榧荤┖鑲犵鏀剧疆杈綯reitz 闊у甫浠ヤ笅20~30 cm 鎴愬姛鐜囦负100%锛岀疆绠℃椂闂翠负(10.5卤5.5) min 锛岀疆绠℃繁搴﹁揪110~130 cm锛 骞冲潎鏀剧疆鏃堕棿涓?18.5卤1.5) d 锛屾湭鍙戠敓涓ラ噸骞跺彂鐥囥€傜粨璁 缁忚儍闀滅粨鍚堢紳绾挎崋缁戣緟鍔╁紩瀵兼斁缃蓟绌鸿偁绠℃槸涓€绉嶅畨鍏 鏈夋晥銆佺粡娴庝究鎹枫€佸噯纭揩閫熴€佷笉鏄撴粦鑴辩殑鑲犲唴钀ュ吇閫斿緞锛屽€煎緱涓村簥鎺ㄥ箍搴旂敤銆 銆愬叧閿瘝銆 鑳冮暅锛涚紳绾匡紱榧荤┖鑲犺惀鍏荤锛涜偁鍐呰惀鍏 銆愪腑鍥惧垎绫诲彿銆慠573 銆愭枃鐚爣璇嗙爜銆慉 銆愭枃绔犵紪鍙枫€ 1003鈥?350锛?016 锛?6鈥?982鈥?3 Experience of fast placing naso-jejunal feeding tube by endoscope combined with suture bundling. HUANG De-wang 1, LIANG Zhen-jie 2. Department of Gastroenterology 1, Intensive Care Unit 2, Wuzhou Red Cross Hospital, Wuzhou 543002, Guangxi, CHINA 銆怉bstract 銆 Objective To explore the method of placing naso-jejunal feeding tube under endoscope and its ap- plication effect. Methods Naso-jejunal feeding tubes were placed for 28 patients in demand of enteral nutrition and not suitable for feeding by mouth. The push-in end of naso-jejunal feeding tube was bundled by suture, and the same bun- dling approach was applied four times with 20 cm interval. The end of suture