Feinberg M J, Knebl J, Tully J, Segall L
Department of Radiology, Albert Einstein Medical Center, Philadelphia, Pennsylvania 19141.
Dysphagia. 1990;5(2):61-71. doi: 10.1007/BF02412646.
Aspiration is prevalent in the elderly but its association with impairment of oral intake and gastroesophageal reflux is often misunderstood. This paper describes the causes, pathophysiology, and consequences of aspiration and their unique features in aged persons. It also explains how videofluoroscopic evaluation can assess current function while limiting factors that result in misinformation. The management of aspiration is discussed, emphasizing the importance and difficulties in maintaining functional well-being and possible complications of therapy.
误吸在老年人中很常见，但它与经口摄入受损和胃食管反流的关联常常被误解。本文描述了误吸的原因、病理生理学和后果及其在老年人中的独特特征。它还解释了视频荧光透视评估如何在限制导致错误信息的因素的同时评估当前功能。文中讨论了误吸的管理，强调了维持功能健康的重要性和困难以及治疗可能的并发症。
