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艰难的吞咽:重症监护病房拔管后吞咽困难和营养影响。

Tough Pill to Swallow: Postextubation Dysphagia and Nutrition Impact in the Intensive Care Unit.

机构信息

Department of Neurology, Jefferson Weinberg ALS Center, Philadelphia, Pennsylvania, USA.

Department of Rehabilitation, Jefferson University Hospitals, Philadelphia, Pennsylvania, USA.

出版信息

Nutr Clin Pract. 2021 Feb;36(1):80-87. doi: 10.1002/ncp.10602. Epub 2020 Nov 26.

DOI:10.1002/ncp.10602
PMID:33242222
Abstract

More than 5 million patients are admitted to US intensive care units (ICUs) each year. Many of these patients have risk factors for dysphagia. Dysphagia must be promptly addressed and appropriately treated to avoid the deleterious impacts of aspiration and malnutrition. Therefore, clinicians must be aware of ways to identify and treat dysphagia. This review will highlight the risk factors, mechanisms, and impact of dysphagia in the ICU as well as provide screening, diagnostic, and management options.

摘要

每年有超过 500 万名患者入住美国重症监护病房(ICU)。这些患者中有许多存在吞咽困难的风险因素。必须及时处理和适当治疗吞咽困难,以避免误吸和营养不良的有害影响。因此,临床医生必须了解识别和治疗吞咽困难的方法。本文将重点介绍 ICU 中吞咽困难的危险因素、机制和影响,并提供筛选、诊断和管理选择。

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