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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。

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