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[误吸类型及严重程度的分析与影像学分期]

[Analysis and radiologic staging of the type and severity of aspiration].

作者信息

Hannig C, Wuttge-Hannig A, Hess U

机构信息

Institut für Röntgendiagnostik, Technischen Universität München.

出版信息

Radiologe. 1995 Oct;35(10):741-6.

PMID:7501801
Abstract

The estimated number of the incidence of undiagnosed chronic aspiration pneumonia after cerebral or cerebrovascular injury seems very high. According to American statistics, at least 6% of these patients die from aspiration pneumonia within the first year. The high temporal resolution of cineradiography with frame rates of the complex process of pharyngeal swallowing lasting 0.7 s. The method enables us to differentiate between so-called pre-, intra- and postdeglutitive aspiration, which means aspiration before, during and after the triggering of the swallowing reflex. Together with an established score for the severeness of the aspiration, the method supplies important data for setting up a functional surgical and/or conservative program for rehabilitation and for follow-up-studies.

摘要

脑损伤或脑血管损伤后未确诊的慢性误吸性肺炎的估计发病率似乎非常高。根据美国的统计数据,这些患者中至少有6%在第一年内死于误吸性肺炎。电影造影术具有高时间分辨率,帧率可达持续0.7秒的复杂咽吞咽过程。该方法使我们能够区分所谓的吞咽前、吞咽中和吞咽后误吸,即吞咽反射触发之前、期间和之后的误吸。结合已确定的误吸严重程度评分,该方法为制定功能性手术和/或保守康复方案以及后续研究提供了重要数据。

相似文献

1
[Analysis and radiologic staging of the type and severity of aspiration].[误吸类型及严重程度的分析与影像学分期]
Radiologe. 1995 Oct;35(10):741-6.
2
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Digital cineradiography of the pharynx and the oesophagus after total or partial laryngectomy.全喉或部分喉切除术后咽和食管的数字电影造影术。
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Long-term morbidity and management strategies of tracheal aspiration in adults with severe developmental disabilities.成年重度发育障碍患者气管误吸的长期发病率及管理策略
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The Towne projection for evaluation of the velopharyngeal sphincter.用于评估腭咽括约肌的汤氏位投照。
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Aspiration resulting from lateral hypopharyngeal pouches.下咽侧袋引起的误吸。
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[Swallowing and swallowing disorders at the focus of otorhinolaryngology : From diagnosis to individualized treatment].[吞咽及吞咽障碍:耳鼻咽喉科的核心问题——从诊断到个体化治疗]
HNO. 2025 Apr 9. doi: 10.1007/s00106-025-01630-3.
2
Dysphagia in the intensive care unit: epidemiology, mechanisms, and clinical management.重症监护病房中的吞咽困难:流行病学、机制和临床管理。
Crit Care. 2019 Mar 28;23(1):103. doi: 10.1186/s13054-019-2400-2.
3
Position paper of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery and the German Society of Phoniatrics and Pediatric Audiology - Current state of clinical and endoscopic diagnostics, evaluation, and therapy of swallowing disorders in children.
德国耳鼻咽喉头颈外科学会和德国儿童语音学与小儿听力学学会的立场文件——儿童吞咽障碍的临床及内镜诊断、评估与治疗现状
GMS Curr Top Otorhinolaryngol Head Neck Surg. 2015 Dec 22;14:Doc02. doi: 10.3205/cto000117. eCollection 2015.
4
Reconstructive and rehabilitating methods in patients with dysphagia and nutritional disturbances.吞咽困难和营养障碍患者的重建与康复方法。
GMS Curr Top Otorhinolaryngol Head Neck Surg. 2005;4:Doc11. Epub 2005 Sep 28.
5
[Neurologic and neuromuscular functional disorders of the pharynx and esophagus].[咽和食管的神经及神经肌肉功能障碍]
Radiologe. 2007 Feb;47(2):137-53. doi: 10.1007/s00117-007-1475-y.
6
[Management of oropharyngeal dysphagia. Current status].[口咽吞咽困难的管理。当前状况]
HNO. 2005 Jul;53(7):661-72. doi: 10.1007/s00106-005-1284-4.