论文部分内容阅读
鼻肠管置管是危重症患者早期建立肠内营养的重要手段之一。本文报告危重症患者盲插鼻肠管86例,一次置管成功63例,成功率73.0%;二次置管成功20例,累计置管成功率96.5%。最终盲插鼻肠管失败3例,占3.5%。置管失败的主要原因是患者鼻部异常、吞咽困难、人工气道、胃肠动力差及送管困难等。对置管困难或失败者,应暂停置管,找出置管失败的原因,有针对性地采取相应措施,以保证危重症患者置管成功。
Nasal tube is one of the important means of establishing enteral nutrition in critically ill patients. In this paper, 86 cases of critically ill patients with blind insertion of the nasal tube, 63 cases of a successful catheterization, the success rate of 73.0%; 20 cases of successful secondary catheterization, the cumulative success rate of 96.5% catheter. The final blind plug nasal tube failure in 3 cases, accounting for 3.5%. The main reason for catheter failure is the patient’s nose abnormalities, swallowing difficulties, artificial airway, poor gastrointestinal motility and delivery difficulties. On the difficulty or failure of the catheter, should suspend catheterization, find out the reasons for the failure of catheterization, and take appropriate measures to ensure the success of critically ill patients.