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[气管插管和气管切开术后吞咽障碍的评估与治疗]

[Evaluation and treatment of swallowing disorders after tracheal intubation and tracheotomy].

作者信息

Mazerolles M, Woisard V

机构信息

CHU Rangueil, TSA 50032 Département d'anesthésie-réanimation, 1 Av J. Poulhes, F-31059 Toulouse Cedex 9, France.

出版信息

Rev Laryngol Otol Rhinol (Bord). 2003;124(5):325-30.

Abstract

Swallowing and respiration are well-coordinated and interdependent functions. When one of these processes is impaired, the consequence may be negative for the other. This article describes the mechanisms of the disorders of swallowing, the effects of tracheotomy or intubation and mechanical ventilation on swallowing, and the procedures used to assess and treat perturbation of swallowing. Combining a basic understanding of these concepts with practical management can increase safe and efficient oral intake in patients after artificial ventilation.

摘要

吞咽和呼吸是协调良好且相互依存的功能。当其中一个过程受损时,其后果可能会对另一个过程产生负面影响。本文描述了吞咽障碍的机制、气管切开术或插管及机械通气对吞咽的影响,以及用于评估和治疗吞咽紊乱的程序。将对这些概念的基本理解与实际管理相结合,可以增加人工通气后患者经口安全有效摄入食物的能力。

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