在患有H型气道食道的患者中评估吞功能
Mehmet Furkan Yalabık1, Selen Serel Arslan2, Özlem Boybeyi1
1Hacettepe University, Faculty of Medicine, Department of Pediatric Surgery, Ankara, Turkiye.
Journal of pediatric surgery
|November 30, 2024
概括
患有H型气管食道囊 (H-TEF) 的儿童会出现轻微的吞困难,包括20%的病例中的吸血. 食道动力障碍影响了50%的患者,这表明需要在H-TEF患者中进行吞评估.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 语音语言病理学 语音语言病理学
背景情况:
- 消化管缩症 (EA) 患者经常患有消化障碍.
- 在H型气管食道囊 (H-TEF) 患者的吞功能没有得到充分的记录.
研究的目的:
- 系统地评估为H-TEF进行手术的儿童的吞功能.
主要方法:
- 对10名为H-TEF进行手术的儿童进行了回顾性分析.
- 视频光镜吞评估 (VFSE) 评估了透吸收,口腔阶段的疗效,吞反射延迟,耳鼻关闭和食道不运动.
- 对于志向和功能障碍的标准化评分.
主要成果:
- 20%的患者经历了液体的吸收;没有人用固体.
- 20%的患者表现出轻微的口服阶段疗效问题.
- 50%的人表现出食道动力障碍 (轻度至重度).
- 所有患者的吞反射和喉关闭都是正常的.
结论:
- 患有H-TEF的儿童在所有阶段都表现出适度的吞障碍.
- 虽然低于EA的严重程度,但吞评估对于H-TEF患者护理至关重要.
相关概念视频
Oxygen Delivering System III: Tracheostomy and T-piece
500
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
500
Tracheostomy: Procedure and Tubes
411
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
411
Tracheostomy Suctioning II: Procedure
168
Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
168
Tracheostomy Decannulation
115
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
115
Trachea
1.6K
The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
1.6K
Esophageal Strictures-II: Clinical Features and Management
51
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
51


