SB TUBE-정맥류 환자 치료방법,삽입방법

문서 내 토픽

1. Esophageal varix

식도 정맥류는 문맥압 상승으로 인해 식도 정맥이 확장되어 혹처럼 부풀어 오르는 질환이다. 주요 원인은 간경변증으로 인한 문맥압 상승이며, 정맥류가 파열되면 토혈, 흑색변, 혈변 등의 증상이 발생할 수 있다.
2. Sengstaken Blakemore tube (S-B tube)

S-B tube는 식도 정맥류 출혈 시 지혈에 사용되는 기구로, 선단에 두 개의 풍선이 있어 위내에서 한쪽 풍선을 부풀려 고정하고 다른 쪽 풍선을 식도 내에서 부풀려 식도벽을 압박하여 출혈을 막는다. 주요 적응증은 식도 정맥류 파열로 인한 지속적 출혈이며, 삽입 방법, 제거 방법, 합병증 및 간호 등이 자세히 설명되어 있다.

Easy AI와 토픽 톺아보기

1. Esophageal varix

Esophageal varices are abnormally dilated veins in the lower part of the esophagus, often caused by portal hypertension. They can be a serious complication of liver disease, as they are prone to bleeding which can be life-threatening. Prompt diagnosis and appropriate management are crucial. Treatment options include endoscopic banding or sclerotherapy, as well as pharmacological therapy to reduce portal pressure. In severe cases, transjugular intrahepatic portosystemic shunt (TIPS) or liver transplantation may be considered. Careful monitoring and prevention of variceal bleeding are essential to improve patient outcomes. Overall, esophageal varices require a multidisciplinary approach involving gastroenterologists, hepatologists, and interventional radiologists to provide comprehensive care.
2. Sengstaken Blakemore tube (S-B tube)

The Sengstaken-Blakemore tube (S-B tube) is a specialized medical device used to control severe bleeding from esophageal or gastric varices. It consists of a multi-lumen tube with two inflatable balloons, one for the esophagus and one for the stomach. When inflated, the balloons apply pressure to the bleeding site, temporarily stopping the hemorrhage. The S-B tube is typically used as a temporary measure to stabilize the patient until definitive treatment, such as endoscopic banding or shunt surgery, can be performed. It is an important tool in the management of variceal bleeding, particularly in emergency situations where immediate control of bleeding is necessary to save the patient's life. However, the use of the S-B tube carries risks, such as esophageal or gastric perforation, and should only be used by experienced clinicians in a controlled hospital setting. Proper training and careful monitoring are essential to ensure the safe and effective use of this device.

주제 연관 리포트도 확인해 보세요!