Aspiration: Cause and implications

被引：80

作者：

Lundy, DS

Smith, C

Colangelo, L

Sullivan, PA

Logemann, JA

Lazarus, CL

Newman, LA

Murry, T

Lombard, L

Gaziano, J

机构：

[1] Univ Miami, Dept Otolaryngol, Miami, FL 33101 USA

[2] Northwestern Univ, Dept Commun Sci & Disorders, Chicago, IL 60611 USA

[3] Northwestern Univ, Dept Preventat Med, Chicago, IL 60611 USA

[4] Northwestern Univ, Dept Neurol, Chicago, IL 60611 USA

[5] Northwestern Univ, Dept Dent Prosthet, Chicago, IL 60611 USA

[6] Univ Tennessee, Dept Otolaryngol, Memphis, TN USA

[7] Univ Pittsburgh, Dept Otolaryngol, Pittsburgh, PA 15260 USA

[8] Univ S Florida, H Lee Moffitt Canc Ctr, Dept Speech Pathol Serv, Tampa, FL 33682 USA

来源：

OTOLARYNGOLOGY-HEAD AND NECK SURGERY | 1999年 / 120卷 / 04期

关键词：

D O I：

10.1053/hn.1999.v120.a91765

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

The purpose of this investigation was to determine the overall prevalence of aspiration in dysphagic individuals referred for a modified barium swallow and the underlying anatomic and/or physiologic causes. A total of 166 patients were seen during a 1-month period at 5 participating institutions. Aspiration was detected in 51.2% of the patients. The most common causes were decreased laryngeal elevation and delayed triggering of the pharyngeal motor response, A history of aspiration pneumonia was significantly associated with the presence of aspiration on modified barium swallow study, The presence of a protective cough was present in only 53% of patients who aspirated, reinforcing the need for appropriate radiologic assessment in patients with suspected dysphagia.

引用

页码：474 / 478

页数：5

共 20 条

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