卒中后吞咽困难的机制、评估与治疗

被引：14

作者：

俞宁

安中平

机构：

[1] 天津市脑系科中心医院神经内科

来源：

医学综述 | 2007年 / 21期

关键词：

脑血管意外; 吞咽困难; 治疗; 病因学; 评估;

D O I：

暂无

中图分类号：

R743 [脑血管疾病];

学科分类号：

1002 ;

摘要：

吞咽困难是卒中常见的严重并发症之一,患者不能完成吞咽过程并保护呼吸道,显著影响患者的预后,其发病机制是由于吞咽皮质中枢及其投射纤维、延髓及相关神经的损伤所致。临床上可根据患者症状和体征进行临床筛查和仪器评估,了解其发病机制和评估方法有利于早期识别吞咽困难的有无及其性质,评测治疗手段的有效性和有利于治疗方案的制定。临床治疗上以康复锻炼为主。急性卒中所致的吞咽困难大部分可自行恢复,恢复困难者预后较差,病死率较高。

引用

页码：1646 / 1648

页数：3

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