Proesmans Marijke
Dept of Pediatric Pulmonology, Katholieke Universiteit Leuven, Leuven, Belgium.
Breathe (Sheff). 2016 Dec;12(4):e97-e103. doi: 10.1183/20734735.017416.
Children with neurocognitive impairment often present with chronic or recurrent respiratory problems.The respiratory problems have an important impact on quality of life and life expectancy.The underlying causes are multiple: risk of aspiration, insufficient cough, upper airway obstruction and progressive kyphoscoliosis.There is often a complex interplay between these known risk factors.The diagnostic and therapeutic approach should be multidisciplinary.
To provide data on the prevalence of respiratory problems in children with disability and to increase awareness on this topic.To provide insight into the complex interplay of the underlying causes and risk factors for chronic lung infection and respiratory failure.To give an overview of the diagnostic approaches relevant in this context.To highlight possible therapeutic approaches.To touch on ethical considerations in this group of vulnerable and complex patients.
患有神经认知障碍的儿童常出现慢性或复发性呼吸问题。这些呼吸问题对生活质量和预期寿命有重要影响。潜在原因是多方面的：误吸风险、咳嗽不足、上呼吸道梗阻和进行性脊柱侧弯。这些已知风险因素之间往往存在复杂的相互作用。诊断和治疗方法应是多学科的。
提供残疾儿童呼吸问题患病率的数据，并提高对该主题的认识。深入了解慢性肺部感染和呼吸衰竭潜在原因与风险因素之间的复杂相互作用。概述在此背景下相关的诊断方法。强调可能的治疗方法。探讨这组脆弱且情况复杂的患者的伦理考量。
