《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (10): 989-990.

• 论文 • 上一篇    下一篇

中枢神经损伤患者经皮内镜下胃造瘘的临床观察

黄业斌1a，岳军忠1b，高飞1b，王增春1c   

  1. 1.中国康复研究中心北京博爱医院，a.消化内镜室；b.普通外科；c.麻醉科，北京市 100068。
  • 收稿日期:2010-07-27 修回日期:1900-01-01 出版日期:2010-10-25 发布日期:2010-10-25

Percutaneous Endoscopic Gastrostomy on Patients with Central Nervous System Injuries

HUANG Ye-bin, YUE Jun-zhong, GAO Fei, et al   

  1. Beijing Charity Hospital, China Rehabilitation Research Center, Beijing 100068, China
  • Received:2010-07-27 Revised:1900-01-01 Published:2010-10-25 Online:2010-10-25

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被引次数

11

摘要： 目的探讨中枢神经损伤患者经皮内镜下胃造瘘建立肠内营养的方法。方法对32例中枢神经损伤患者采用Pull法进行经皮内镜下胃造瘘术。结果经皮内镜下胃造瘘Pull法成功率100%，2例内镜下见胃内少量活动出血，经拉紧内固定垫片局部压迫后出血停止，腹部切口局部红肿和出现分泌物1例，经局部碘伏消毒和换药后治愈，1例出现坠积性肺炎，经抗感染治疗好转。无严重并发症病例。结论经皮内镜下胃造瘘术对于中枢神经损伤患者操作简单又安全。

关键词: 经皮内镜下胃造瘘术, 中枢神经损伤

Abstract: ObjectiveTo explore the percutaneous endoscopic gastrostomy on patients with central nervous system injuries in neurological rehabilitation and to establish enteral nutrition.MethodsThirty-two patients with central nervous system were enrolled for percutaneous gastrostomy, using the Pull technique.ResultsThe successful rate of percutaneous gastrostomy as Pull technique was 100%, 2 cases of stomach bleeding through endoscopy. Straining the fixation gasket and partial compression stoped bleeding. One patient appeared swelling and secretions in abdominal incisions, and recovered after dealing with local iodophor and changing fresh dressing. Hypostatic pneumonia occurred in one patient, and improved after anti-infective treatment. No serious complications occurred.ConclusionPercutaneous gastrostomy is a simple and safe for the patients with central nervous system injuries.

Key words: percutaneous gastrostomy, neurological rehabilitation