用鼻子“吃饭”？这项硬核操作进来了解下_长寿区人民医院_长寿圈

长寿区人民医院 发表于 2023-7-20 11:30:28

用鼻子“吃饭”？这项硬核操作进来了解下

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近日，长寿区人民医院重症医学科成功为一名病情十分凶险的重症急性胰腺炎患者实施<strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; visibility: visible;">床旁徒手盲插三腔喂养管置入术</strong>，解决了患者肠内营养的问题，为后续治疗和护理打下了坚实的基础。
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该患者因“急性胰腺炎”收住重症医学科，主管医生经综合评估决定行盲插三腔喂养管置入术。
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重症医学科主管护师王耀瑩在护士长张敏的指导下，仔细测量、小心送管、体位调整、耐心听诊，应用徒手盲插置管法成功将鼻空肠管<strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;">经过鼻、食管、胃部、幽门、十二指肠置入到空肠位置，为患者成功打通营养新通路。</strong>
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术后经床旁X线片证实150cm长的管道末端到达空肠段，位置良好。<strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;">目前患者已顺利开展肠内营养，精神状态好了很多，连连对医务人员表示感谢。</strong>
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此项技术的成功开展，填补了长寿区三腔喂养管床旁盲插置入技术的空白，标志着该院肠内营养治疗方法更加多元化，对于满足患者治疗要求，达到良好治疗效果起到重要作用。
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<strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;">01 为什么选择进行三腔喂养管置入术？</strong>
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重症急性胰腺炎患者的病程长，病情凶险，变化快，病死率高。在疾病发展过程中，几乎所有的患者都会有严重的代谢紊乱、营养不良和胃肠道功能障碍，存在不同程度的肠麻痹、胃蠕动迟缓和十二指肠瘀滞，因而在治疗过程中，需要较长时间的胃肠减压和幽门后喂养。此项技术既可进行胃肠减压，又可实施空肠内营养，更全面地满足危重患者的临床治疗需求。
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<strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;">02 床旁盲插三腔喂养管置入术的优势？</strong>
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我院重症医学科于2018年开展床旁盲插鼻空肠管技术（单腔空肠管），已累积丰富经验。三腔喂养管由于材料限制、盲插技术难度大，需在胃镜引导或手术直视下进行，故而需要相关的专业技术人员，且费用高、耗时长。但三腔喂养管能以一管三腔同时进行胃肠减压和幽门后喂养，相较于单腔空肠管功能更全面、更能满足临床危重患者治疗需求，有迅速建立肠内营养途径、降低胃潴留发生率、减轻患者痛苦、减少患者住院费用等优点，是急危重症患者营养支持的首选方式。
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立娜发表于 2023-7-20 17:28:20

厉害了这个

不忘厨心的阿钟 发表于 2023-7-20 21:07:25

{:4_197:}{:4_197:}{:4_197:}{:4_197:}

miss赵 发表于 2023-7-20 22:06:52

{:4_204:}

蓦然-回首 发表于 2023-7-20 23:07:34

{:4_202:}{:4_202:}{:4_202:}{:4_202:}{:4_202:}

游玩哦 发表于 2023-7-20 23:10:58

我看看啦哈哈

月印无心 发表于 2023-7-21 20:26:32

不错不错

一直前行 发表于 2023-7-21 21:06:06

{:4_200:}{:4_200:}{:4_200:}{:4_200:}{:4_200:}

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长寿圈's Archiver

用鼻子“吃饭”？这项硬核操作进来了解下