内镜下胃和空肠造瘘术在危重病人中的应用  

Percutaneous endoscopic gastrostomy and jejunostomy in critical patients

作　　者：何发明[1] 徐昉[1] 黄纪坚[1] 张俊文[2] 

机构地区：[1]重庆医科大学附属第一医院中心ICU,重庆400016 [2]重庆医科大学附属第一医院消化内科,重庆400016

出　　处：《重庆医科大学学报》2008年第7期891-892,共2页Journal of Chongqing Medical University

摘　　要：目的:探讨内镜下胃造瘘(Percutaneous endoscopic gastrostomy,PEG)和空肠造瘘术(Percutaneous endoscopic jejunosto-my,PEJ)在危重病人中的应用。方法:对25例危重病人进行了经皮内镜下胃和空肠造瘘术,总结其手术指征、相关并发症、操作过程和临床疗效。结果:25例病人经皮胃和空肠造瘘均获得成功,未发生与PEG及PEJ操作相关的并发症。带管时间为2～8月,4例(16%)出现造瘘口处皮肤感染和渗漏,经局部换药、引流后治愈。3例(12%)出现PEJ导管阻塞。结论:对于危重病人,经皮内镜下胃和空肠造瘘术是建立长期胃肠道营养途径的安全、微创、简便的方法。Objective ： To evaluate the role of percutaneous endoscopic gastrostomy/jejunostomy （ PEG/PEJ ） in critical patients. Methods：Percutaneous endoscopic gastrostomy/jejunostomy procedures were performed in 25 critical patients. Indication, procedure-related complication,technical success and clinical outcome were reviewed. Results：The technical success was 100% and there were no serious complications. In 4 patients（16% ） ,local cleansing, drainage were used for the infection of PEG site. PEJ tube dysfunction occurred in 3 patients （12%）. Conclusion：PEG /PEJ is a safe,minimal invasive,and effective procedure for enteral nutrition in critical patients.

关 键 词：经皮内镜下胃空肠造瘘 危重病人 肠内营养 

分 类 号：R459.3[医药卫生—治疗学]