[問題] 估價一下
關鍵字 NG(stylet) -> pneumothorax -> died
A 92-year-old woman was admitted to the hospital with a severe
left-sided ischemic stroke causing altered mental status (i.e.,a
score of 9 on the Glasgow Coma Scale, on which scores range from
3 to 15, with higher scores indicating increased consciousness),
weakness on the right side, and dysphagia. An initial attempt to
insert a small-caliber nasogastric tube for feeding was unsuccessful,
with coiling of the tube in the mouth. A subsequent attempt with
a stiff stylet resulted in easy insertion, without cough or
respiratory distress. While awaiting radiography to confirm positioning
of the tube, the patient had shortness of breath and was found to
have decreased air movement in the right lung. Chest radiography
revealed the tip of the nasogastric tube lying in the pleural space
in the presence of a large pneumothorax on the right side (arrow).
The nasogastric tube was removed immediately, but the patient died
before further intervention. Though nasogastric tubes are generally
considered safe, there is a risk of substantial pulmonary complications
from blind insertion of small-caliber nasogastric tubes with a
stiff stylet, particularly in patients with a reduced Glasgow
Coma Scale score.
這在台灣不知道要賠多少,七位數?
搞不好還要進去關幾個月
還是說會在路上被人找黑道亂棒打死....
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