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创伤性脑损伤中一种罕见的晚期并发症:气管食管瘘导致的持续性吞咽困难。

An unusual late complication in traumatic brain injury: Persistent dysphagia due to tracheoesophageal fistula.

作者信息

Eker Büyükşireci Dilek, Umay Ebru, Polat Musa, Çakcı Aytül, Meray Jale

机构信息

Department of Physical Medicine and Rehabilitation, Medicine Faculty of Gazi University, Ankara, Turkey.

Department of Physical Medicine and Rehabilitation, Ministry of Health Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey.

出版信息

Turk J Phys Med Rehabil. 2018 May 7;64(2):170-172. doi: 10.5606/tftrd.2018.1547. eCollection 2018 Jun.

Abstract

Traumatic brain injury (TBI), which leads to cognitive, physical, emotional and behavioral deficits according to the severity of trauma, is a disability with high morbidity and mortality. In addition to primary effects of TBI, direct trauma to the face, neck, and chest also contributes to increased morbidity. Recovery in swallowing functions in TBI patients is often parallel with recovery in functional daily activities. Herein, contrary to that expectation, we present a TBI case with persistent dysphagia symptoms lasting for even 1.5 years after trauma, despite the fact that she gained independence in dailylife activities under supervision.

摘要

创伤性脑损伤(TBI)根据创伤的严重程度会导致认知、身体、情感和行为缺陷,是一种发病率和死亡率都很高的致残疾病。除了TBI的原发性影响外,面部、颈部和胸部的直接创伤也会导致发病率增加。TBI患者吞咽功能的恢复通常与日常功能活动的恢复同步。在此,与预期相反,我们报告一例TBI病例,尽管患者在监督下日常生活活动能够自理,但创伤后持续吞咽困难症状长达1.5年。

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本文引用的文献

6
Prospective evaluation of oro-pharyngeal dysphagia after severe traumatic brain injury.
Brain Inj. 2007 Dec;21(13-14):1411-7. doi: 10.1080/02699050701785096.
8
Tracheoesophageal fistula.气管食管瘘
Chest Surg Clin N Am. 2003 May;13(2):271-89. doi: 10.1016/s1052-3359(03)00030-9.
9
Acute characteristics of pediatric Dysphagia subsequent to traumatic brain injury: videofluoroscopic assessment.
J Head Trauma Rehabil. 2002 Jun;17(3):220-41. doi: 10.1097/00001199-200206000-00004.

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