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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Sonographic detection of a malpositioned feeding tube causing esophageal perforation in a neonate.
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Sonographic detection of a malpositioned feeding tube causing esophageal perforation in a neonate.

机译：超声检查喂养管位置不正确，导致新生儿食管穿孔。

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摘要

We report a case of esophageal perforation caused by a malpositioned feeding tube in a neonate of extremely low birth weight, 632 g. The infant had respiratory distress, which increased rapidly when he was 6 days old. Radiography revealed right-sided hydrothorax that had not been evident a day earlier but no sign of a perforated esophagus. We performed sonography, which revealed fluid in the right pleural cavity and extra-esophageal placement of the feeding tube. Analysis of a fluid specimen obtained on thoracocentesis indicated that the fluid was feeding formula. The feeding tube's misplacement was confirmed sonographically by injecting a small amount of sterile distilled water into the tube and visualizing its entry into the pleural cavity. The feeding tube was removed, and antimicrobial agents were administered. When the infant was 15 days old, feeding resumed through another tube, the placement of which was verified radiographically. The infant was discharged when he was 118 days old with no severecomplications, although he had mild chronic lung disease. Because radiography did not reveal the tube's misplacement in this case, we believe that the use of sonography can contribute to an early diagnosis of esophageal perforation in such cases.
机译：我们报告了一例因出生体重极低（632克）的喂养管放置不当而引起的食管穿孔。婴儿患有呼吸窘迫，在他6天大时迅速增加。放射学检查显示一天前没有发现右侧胸膜积水，但没有食管穿孔的迹象。我们进行了超声检查，发现右胸膜腔积水和食管食管外放置。对通过胸腔穿刺术获得的液体样本的分析表明，该液体为喂养配方。通过将少量无菌蒸馏水注入试管并观察其进入胸膜腔的方式，通过超声检查证实了试管的错位。移开饲管，并施用抗菌剂。婴儿15天大时，通过另一根管重新开始喂养，并通过射线照相证实其位置。尽管婴儿患有轻度的慢性肺病，但他在118天大时出院，无严重并发症。因为在这种情况下放射线照相不能显示管的错位，所以我们认为在这种情况下使用超声检查可以有助于早期诊断食管穿孔。

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