DSA影像监视下鼻肠营养管置入的技术与技巧  

The placement of naso-jejunal feeding tube under DSA guidance:its technology and skills

作　　者：宋来昌[1] 王文辉[1] 李奋强[1] 苏东君[1] 李博[1] 

机构地区：[1]兰州大学第一医院介入医学科,730000

出　　处：《介入放射学杂志》2009年第12期940-942,共3页Journal of Interventional Radiology

摘　　要：目的回顾性分析总结DSA影像监视下放置鼻肠营养管建立肠内营养的技术。方法441例患者置入鼻肠营养管。鼻、咽部喷雾麻醉后,在DSA影像监视下,经导丝引导导管依次经鼻、咽、食管、胃、幽门、十二指肠各部使导管头端位于水平部,置换入加硬导丝沿加硬导丝送入鼻肠营养管并将其头端送至屈氏韧带以下20～30cm。结果全部病例平均在5min内成功放置肠道营养管,营养管位置满意,无一例出现并发症。结论应用DSA影像监视能够快速、简便、安全的放置鼻肠营养管,成功率高,患者无痛苦,值得临床推广应用。Objective To retrospectively analyze and summarize the manipulation and skills of the placement of naso-jejunal feeding tube under DSA guidance.Methods After performing the spraying anesthesia of nasopharynx,the naso-jejunal feeding tube,with the help of guide wire and under DSA guidance,was placed into the proximal jejunum by passing it through the nose,pharynx,esophagus,stomach, pylorus and duodenum in order.The procedure was employed in 441 cases.Results The mean time for performing the procedure was within five minutes.The procedure was successfully accomplished in all 441 cases and no complications occurred in this series.Conclusion Under DSA guidance the placement of naso- jejunal feeding tube can be safely and quickly carried out with high successful rate and less sufferings to patient.It is worth popularizing this technique in clinical practice.

关 键 词：鼻肠营养管 数字减影血管造影 技术 

分 类 号：R472[医药卫生—护理学]