一例脑梗死患者置胃管致呼吸骤停的分析  

Analysis of one case of gastric tube induced respiratory arrest in patient with cerebral infarctions

作　　者：贾汝福[1] 杨景艳[2] 曹振敏[1] 李桂馨[1] 

机构地区：[1]河北省沧州市中心医院脑科院区,河北沧州061001 [2]河北省沧州市中心医院麻醉一科,河北沧州061001

出　　处：《中国医药导报》2017年第32期163-165,共3页China Medical Herald

摘　　要：本文报告1例脑梗死患者置胃管致呼吸骤停病例。围绕所置胃管品质、置胃管操作方法和患者自身因素三方面讨论分析,判断该患者呼吸骤停与脑梗死发病部位(右侧延髓)的病理变化,置胃管的刺激,纳食量少和应用脱水药物所致的一定程度的低血容量等患者自身因素有关。因此,对延髓脑梗死患者置胃管时,应严格按重症脑血管病综合管理,预防性应用抗胆碱能药物或麻醉药或饮水诱导,确保血容量充足,减轻心理压力等。This article reported 1 case of cerebral infarction patient with gastric tube induced respiratory arrest. The discussion was conducted by analyzing the stomach tube quality, operation method of gastric tube and the patient＇s own factors. Pathological changes of patient with respiratory arrest in his pathogenic sites of cerebral infarction （the right side of medulla oblongata） could be found accordingly. Gastric tube stimulation, sodium intake deficiency and certain degree of hypovolemia due to dehydration were connected to the patient＇s own factors. It should be strictly in accordance with severe cerebrovascular disease integrated management when placing gastric tube in patients with medulla oblongata cerebral infarction. Prophylactic use of anticholinergic drugs or narcotics, or induced by drinking water should be taken into consideration to ensure blood volume in patients with adequate and alleviate psychological pressure, etc.

关 键 词：胃管 脑梗死 吞咽障碍 迷走神经反射 

分 类 号：R47[医药卫生—护理学]