摘要
目的 应用胃镜引导 ,采取不同的方法进行上胃肠插管 ,解决特殊患者的肠内营养 (EN)问题。方法 (1)采取胃镜直接引导鼻饲管进入小肠 ;(2 )通过胃镜钳道插入安全导丝 ,再沿导丝将鼻饲管插入小肠 ;(3)通过胃镜钳道将硅胶营养管插入小肠。结果 2 8例患者 30人次全部插入成功 ,解决了患者 EN的难题。结论 胃镜引导的插管术为重症胰腺炎 (SAP) ,上胃肠术后管腔狭窄、变形或深部插管有困难而需要 EN的患者 ,提供了一种安全、简便、有效的方法 ,可使部分患者避免手术或再手术。
Objective To give the special cases nutrition with different methods for upper gastroenterotubing under the guidance of gastroscope.Methods (1)Putting nasalfeeding tube into intestine directly guided by gastroscope;(2)putting safe inducing wire through gastroscope into the intestine,then putting nasalfeeding tube along the wire down into the intestine;(3)putting silicagel tube into intestine directly guided by gastroscope.Results All the 30 times of performance on 28 cases were successful,which settled the problem of enteronutrition.Conclusion The gastroscope guided intubation is a simple,safe and effcient method for the patients who needed enteronutrition but were difficult with the routine intubation because of severe acute pancreatitis and the stricture or deformation post upper gastrointestinal tract operation.Some of such cases my avoid the surgical operation by the method.
出处
《淮海医药》
2002年第5期365-367,共3页
Journal of Huaihai Medicine
