Drainage tube of the three cavity two capsule tube
4, paraffin oil lubrication gastric tube and double balloon, nasal feeding and feeding tube into the three-lumen (stomach tube), pumping gastric juice, gastric juice out, proved in the stomach. 5, the first in the stomach capsule filled with 200 ml, with a clip to clamp the mouth of the balloon opening, and make a mark, pull out the three-lumen to a slight sense of elastic resistance, and then fixed with three-lap tube, Tube tail a roving rope, with 0.5kg sandbags, through the pulley device traction three-chamber pressure oppression of the stomach, shoot up the bed feet. 6, the direction of the traction should be along the longitudinal axis of the body and the nasolabial was 45 degrees angle, and then syringe to the esophagus balloon filling 150 ml, with a clip to clamp the end of the esophageal balloon, and make a mark
1, suction tube tube effusion (blood), build gas, reduce gastric dilatation. 2, cirrhosis patients esophageal, gastric venous rupture bleeding to stop bleeding. 3, to understand the amount and nature of gastric juice, to clinically determine the disease and provide a basis for treatment. 1, wear a mask, wash your hands. 2, explain to the patient, get cooperation. 3, the three lumen of the three cavities were labeled, with 50 ml syringe pumping stomach and esophageal balloon gas, and then to the stomach capsule filling gas 200 ml, 150 ml of esophageal airbag, placed in the water to observe whether the balloon leak Gas deformation.
7, gastrointestinal cavity received gastrointestinal pressure reducer, negative pressure transferred to 8kPa, regular suction. 8, finishing things, placement of patients. 1, placed three-chamber balloon compression time of not more than 48h, every 12h air bag bleed 5-10 ml, to prevent esophageal gastric mucosal erosion, necrosis. 2, airbag compression 12h, should be deflated once. Airbag compression 48h after the tube still bright red blood aspiration, indicating that the balloon pressure to stop bleeding should be immediately reported to the doctor. 3, record the daily aspiration and the nature of gastric juice, for daily water, electrolyte reference. 4, daily oral care 2-4 times, from the nasal cavity along the three lumen drops drop paraffin oil drops. 5, to prevent excessive traction or slip caused by esophageal airbag obstruction throat lead to suffocation, especially in the airbag gas traction, such as the patient prone to breathing difficulties, to immediately relax and pull out the esophageal airbag air, such as severe breathing difficulties or suffocation, Should immediately cut the two-tube tube. 6, gastrointestinal pressure regulator to maintain the negative pressure in the 8kPa drainage, with the complete cleaning and disinfection. 7, bleeding after 12h, only from the tube into the liquid, before the injection to identify the mark, to prevent the wrong irrigation to the esophagus or balloon, causing air rupture.
8, liver disease patients to avoid induced hepatic coma, through the gastric tube into the liquid, to promote intestinal bleeding and other nitrogen-containing substances, while inhibiting intestinal bacteria to reduce ammonia production. 9, bleeding stop 48-72h, can be considered extubation, extubation before the complete pumping air inside the airbag, continue to observe 12h, if no bleeding, swallow paraffin oil 30-50 ml, lubricate the stomach and then extubation, so as not to Due to blood clots sticky mucosal bleeding again.
