X线下放置鼻空肠营养管在危重症早期肠内营养中的应用  

X-ray assisted placement of the nasojejunal feeding tube and itsuse in early enteral nutrition of critical illness

作　　者：李瑞红[1] 李德春[2] 

机构地区：[1]徐州市中心医院医学营养科,江苏徐州221009 [2]徐州市中心医院放射科,江苏徐州221009

出　　处：《肠外与肠内营养》2006年第4期231-232,236,共3页Parenteral & Enteral Nutrition

摘　　要：目的：探讨X线下放置鼻空肠营养管，在危重症病人早期肠内营养中的临床应用价值。方法：在X线监视下，将带有金属导丝的营养管自鼻腔经胃、十二指肠，置入空肠，拔出导丝，注入造影剂，确认营养管前端已进入Treitz韧带后30cm以远。结果：X线下可将营养管放置至Treitz韧带30cm以远的空肠部位，置管成功率为100％，置管时间为10—40（平均20）min。置管后营养管在位良好，喂养过程顺利。结论：X线下放置鼻空肠营养管，是一种操作简便快捷、安全可靠的置管技术，为危重症病人早期肠内营养支持提供了一条更有效的营养途径。Objective ： To study the clinical application of X-ray assisted placement of nasojejunal feeding tube in early enteral nutrition of critical illness. Methods ： The feeding tube affiliated wire guide was inserted to jejunum under X-ray observation and affirmanced by the examination with contrast medium. Results ：All the feeding tubes were inserted to jejunum successfully. The time was 10-40 minutes, averagely 20 minutes. safe and offer an Conclusion ：The placement of the nasojejunal feeding tube under X-ray is simple and effective route of early enteral nutrition for critical illness.

关 键 词：营养管 危重症 肠内营养 

分 类 号：R459.3[医药卫生—治疗学]