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临床上,有许多情况需迅速把导管置于肠道特定的部位,这对患者将起重要作用。这些情况包括小肠梗阻病人扩张肠管的减压以及上消化道梗阻病人的旁路肠道营养。这里,我们介绍一种在荧光屏指引下迅速插鼻肠管的操作技术的临床应用。资料及方法开始,在荧光屏下用一金属丝控制血管造影,比较容易通过狭窄及胃肠吻合口。一步步操作步骤如图所示。一旦导管和金属丝(管芯)到达预期的部位,金属丝改用长260cm0.035英寸或0.38英寸7.5或15
Clinically, there are many situations where it is necessary to quickly place the catheter in a specific part of the intestine, which will play an important role for the patient. These include reduced bowel decompression in patients with small bowel obstruction and bypass intestinal nutrition in patients with upper digestive tract obstruction. Here, we describe the clinical application of a surgical technique for rapidly inserting a naso-intestinal tube under the guidance of a fluorescent screen. Data and methods began with a metal wire under the fluoroscope to control angiography, which is easier to pass through stenosis and gastro-intestinal anastomosis. A step-by-step procedure is shown in the figure. Once the conduit and wire (die) reach the desired location, the wire is changed to 260 cm long by 0.03 inch or 0.38 inch by 7.5 or 15 inches.