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題名 | The Chest X-ray Image of Nasogsatric Tube Mimic Endotracheal Tube in Bronchus Placement=鼻胃管錯置疑似氣管內管置入右側支氣管的X光影像 |
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作者 | 陳俊華; 吳永隆; | 書刊名 | 中華民國急救加護醫學會雜誌 |
卷期 | 23:2 2012.06[民101.06] |
頁次 | 頁79-81 |
分類號 | 416.12 |
關鍵詞 | 鼻胃管; 氣管內管; 胸部X光; Nasogastric tube; Endotracheal tube; Chest X-ray; |
語文 | 英文(English) |
中文摘要 | 鼻胃管之置放為急重症病人治療上極為重要之步驟,尤其對於意識不清患者更為提供餵食之重要途徑,而錯誤的置放更可能造成致命性的併發症。我們報告一例鼻胃管錯置之病例。病人因呼吸衰竭而置放氣管內管及鼻胃管置入餵食。初時以聽診胃區確認鼻胃管位置,隨後並照胸部 X光片但誤認為是氣管內管置放過深而置入右支氣管中。後雖經過再次評估發現是鼻胃管誤入右支氣管,因此拔除鼻胃再重新置入胃內,但病人仍因敗血症於兩週後死亡。文獻報告指出,即使已放入氣管內管或氣切管後,仍有可能將鼻胃管錯置入氣管或支氣管內。因此鼻胃管置入後, X光的確認及正確的判讀仍是重要且關鍵性的步驟,而這往往是為醫療人員所輕忽的。 |
英文摘要 | Nasogastric tube is a replacement method of food providing for unconscious patient. The misplacement of nasogastric tube may associate with some lethal complications. We report a case of right bronchus misplacement of nasogastric tube in a respiratory failure patient. After Chest X-ray confirmation and reinserted the nasogastric tube into the stomach carefully. But patient expired 2 weeks later unfortunately. Careful nasogastric tube insertion and chest X-ray confirmation the location of nasogastric tube are suggested. |
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