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Repeated Lung Lavage with Extracorporeal Membrane Oxygenation Treating Severe Acute Respiratory Distress Syndrome due to Nasogastric Tube Malposition for Enteral Nutrition: A Case Report

肺灌洗联合体外膜氧合治疗置管错位引发的急性呼吸窘迫综合征:病例研究

摘要


肠内营养支持可为重症患者提供营养与能量支持,在临床领域广泛应用。但因置管错位导致的并发症常危及患者生命安全。本文报道一例因置管错位导致胸膜瘘,并最终引发急性呼吸窘迫综合征的病例。患者入院后,行肺灌洗与体外膜(葉克膜)氧合进行治疗。治疗7天后患者康复出院。

並列摘要


Enteral nutritional support, a frequently applied technique for providing nutrition and energy, played a pivotal role in the treatment of high risk patients. However, severe complications induced by malposition of nasogastric tube caused great danger and even death to the patients. In this case report, we present a patient with severe acute respiratory distress syndrome (ARDS) induced by bronchopleural fistula (BPF) due to malposition of nasogastric tube. Repeated lung lavage combined with extracorporeal membrane oxygenation (ECMO) was performed after transferring to the ICU of our hospital. Finally, the patient recovered and discharged 7 days after admission.

被引用紀錄


Wahlqvist, M. L. (2013). Case Studies and Evidence Based Nutrition. Asia Pacific Journal of Clinical Nutrition, 22(4), 664-666. https://doi.org/10.6133/apjcn.2013.22.4.22

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