Groher M E
Department of Audiology/Speech Pathology, James A. Haley V.A. Hospital, Tampa, Florida.
Dysphagia. 1994 Fall;9(4):233-5. doi: 10.1007/BF00301916.
The dysphagia team is often faced with the dilemma of whether or not to let patients with known aspiration feed orally. The criteria that assist professionals in their final decisions may be more anecdotal than empirical. Undoubtedly, the decision-making process that is activated in determinations of oral vs. non-oral feeding will vary among institutions and by patient presentation. For some dysphagia teams, the presence of tracheal penetration of swallowed contents is sufficient indication to preclude oral feeding. For others, some amounts of aspiration are acceptable.
吞咽困难治疗团队常常面临一个两难困境，即是否让已知存在误吸的患者经口进食。帮助专业人员做出最终决定的标准可能更多是基于经验而非实证。毫无疑问，在决定经口进食还是非经口进食时启动的决策过程，在不同机构之间以及因患者表现而异。对于一些吞咽困难治疗团队来说，吞咽内容物出现气管穿透就足以成为禁止经口进食的指征。而对于其他团队而言，一定程度的误吸是可以接受的。
