雷尔斯管移位造成食道穿孔。

IF 0.5 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Tropical Doctor Pub Date : 2024-07-01 Epub Date: 2024-04-02 DOI:10.1177/00494755241241832

Amol Vadgaonkar, Nagesh Kamat, Sanil Parekh, Gaurav Patil, Ankit Dalal, Amit Maydeo

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引用次数: 0

摘要

一名 72 岁的妇女因上腹剧痛前来就诊，她曾多次发生脑血管意外。经X光检查，诊断为食道穿孔，穿孔部位是移入纵膈的雷尔斯管尖端。将鼻胃管推入胃部的尝试导致破裂口增大到约 6 厘米。更换为三腔鼻空肠喂食管后，每天喂食约 1,400 卡路里，使穿孔得以闭合，无需进一步干预。

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Oesophageal perforation by migrated Ryles tube.

A 72-year woman with a history of multiple cerebrovascular accidents presented with severe epigastric pain. An oesophageal perforation by the tip of a Ryles tube, which had migrated into the mediastinum, was diagnosed by radiography. An attempt at pushing the nasogastric tube into the stomach resulted in increasing the rupture to about 6 cm in size. Replacement by a triple-lumen nasojejunal feeding tube and subsequent feeding with c.1,400 calories per day enabled the perforation to close without further intervention.

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来源期刊

Tropical Doctor 医学-公共卫生、环境卫生与职业卫生

CiteScore

1.20

自引率

0.00%

发文量

144

审稿时长

3 months

期刊介绍： The only journal written by and for health workers in low and middle-income countries, Tropical Doctor provides medical expertise and practical advice on how to apply current medical knowledge to the special circumstances of LMIC countries. This journal provides an ideal forum for sharing experiences and establishing best practice, aiding communication between medical professionals in different environments.