摘要
误吸是吞咽功能障碍的常见表现之一，误吸患者的肺炎发生率、病死率明显高于非误吸患者。作为一种无明显呛咳反射的非显性误吸，沉默性误吸可以伴随很多疾病。它继发的肺炎症状不典型，起病更加隐匿，极易延误诊治，但它的诊断还是依赖于影像学及内镜的方法，缺乏行之有效的简单诊断方法。本文就其近年来的相关研究作一综述。
Aspiration is one of the most common manifestation of dysphagia. The incidence of pneumonia and mortality was significantly higher in patients with aspiration. Silent aspiration （SA） describes aspirations without any obvious signs of swallowing difficulty, which can be accompanied with many diseases. The pneumonia symptoms and onset caused by SA is not typical, which can easily lead to the delay of diagnosis and treatment. Video fluoroscopic swallowing and fiberoptic endoscopic evaluation of swallowing are the most frequently used techniques to diagnose SA, while more widely available simple detection methods are lack. It needs to improve the detection methods and thereby better define the prevalence and prognostic significance. This article summarized the recent progress on the research of SA, including the prevalence, etiology, significance, methods of diagnosing, prevention and treatment measures.
出处
《中华老年多器官疾病杂志》
2012年第6期469-472,共4页
Chinese Journal of Multiple Organ Diseases in the Elderly
关键词
沉默性误吸
X线荧光透视检查
纤维内镜吞咽功能评估
silent aspiration
video fluoroscopic swallowing study
fiberoptic endoscopic evaluation of swallowing
