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目的:探讨经鼻胃镜在危重患者放置鼻空肠营养管的临床价值。方法:对120例危重需要肠内营养的患者,应用鼻胃镜引入导丝至空肠,退出胃镜,送入营养管,从另侧鼻腔进镜,观察盘曲、营养管到达Treize韧带以下情况。结果:鼻胃镜引导下放置空肠营养管成功率116例,4例盘曲,重新放置成功。病人耐受良好。结论:对于危重患者行经鼻胃镜放置鼻空肠营养管的方法有效。
Objective: To investigate the clinical value of nasal endoscopy in nasal jejunal feeding tube in critically ill patients. Methods: 120 cases of critically ill patients enrolled in enteral nutrition were enrolled in the jejunum with nasal gastroscope, expelled from the gastroscope, fed into the feeding tube, then placed into the mirror from the other side of the nasal cavity to observe the malformations and the nutrition tube to reach the Treize ligament. Results: Nasal endoscopic guided placement of jejunal nutrition tube success rate of 116 cases, 4 cases of song, re-placed successfully. The patient is well tolerated. Conclusion: The method of nasal gastroscopic placement of nasojejunal feeding tube in critically ill patients is effective.