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误吸的诊断进展 被引量:32

Recent progress on diagnosis of aspiration
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摘要 误吸是指进食(或非进食)时,在吞咽过程中有数量不一的食物、口腔内分泌物或胃食管反流物等进入到声门以下的气道。老年人是误吸的高危高发人群,因误吸导致的窒息、吸入性肺炎等并发症是老年人常见死因之一。临床上误吸可分为显性误吸和隐匿性误吸,显性误吸因临床症状典型易于诊断,但发生率更高的隐匿性误吸则常因表现隐匿而被漏诊。本文总结了误吸的各种诊断方法 ,重点综述了隐匿性误吸的诊断技术进展。 Aspiration is defined as the inhalation of oropharyngeal or gastric contents into the lower respiratory tract,or the situation that substances from the outside environment are accidentally inhaled into the lungs.The elderly individuals are at high risk of aspiration,while asphyxiation and pneumonia caused by aspiration are two most common causes of death among the elderly. Aspiration can be clinically classified as dominant and occult.The dominant aspiration can be easily diagnosed based on typical clinical symptoms,while there is a high rate of missed diagnosis on occult aspiration because of its hidden clinical manifestation.In this paper,we summarized various diagnostic methods for aspiration,especially the occult aspiration in the elderly.
作者 杜杰 郑松柏
出处 《中华老年多器官疾病杂志》 2011年第6期563-565,共3页 Chinese Journal of Multiple Organ Diseases in the Elderly
关键词 误吸 诊断 老年人 aspiration diagnosis elderly
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