Linden P, Siebens A A
Arch Phys Med Rehabil. 1983 Jun;64(6):281-4.
Fifteen patients with pharyngeal stage dysphagia were studied clinically and by motion fluoroscopy. Eleven patients demonstrated laryngeal penetration during swallowing. There was high incidence of impaired pharyngeal gag and wet-hoarse voice quality among this group. Other observations were found to correlate poorly with penetration. Cough was an unreliable indicator of laryngeal penetration. Penetration was most likely when liquids were swallowed and least likely when semisolids were swallowed. Motion fluoroscopy of swallowing was necessary for detecting penetration reliably, identifying that dysphagia depends, in part, on bolus qualities, and planning a feeding approach consistent with remaining swallowing functions.
对15例咽期吞咽困难患者进行了临床研究和动态透视检查。11例患者在吞咽时出现喉穿透。该组患者咽反射受损和声音湿哑的发生率较高。发现其他观察结果与穿透的相关性较差。咳嗽是喉穿透的不可靠指标。吞咽液体时最容易发生穿透，吞咽半固体时最不容易发生穿透。吞咽的动态透视检查对于可靠地检测穿透、确定吞咽困难部分取决于食团性质以及规划与剩余吞咽功能一致的喂养方法是必要的。
