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及早识别中风后吞咽障碍

健康 来源:广州日报 2019年09月09日 13:49 A-A+ 二维码
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原标题:

  主讲医师:陈艳 广州医科大学附属第二医院康复科副主任医师

  卒中患者常因运动功能障碍、语言障碍、吞咽障碍、认知障碍、日常生活能力障碍等到康复科就诊。其中,脑卒中急性期并发吞咽障碍比例高达40%左右,常常导致患者出现营养不良、水电解质紊乱、吸入性肺炎甚至窒息等严重并发症。如何早期识别卒中后吞咽障碍呢?临床上,卒中后合并吞咽障碍患者常常有以下表现:饮水呛咳,包括吞咽时或吞咽后呛咳;进食困难,吞咽费力;进食时间延长;进食量减少;进食时发生哽噎,有食物黏着于咽喉部的不适感;进食后口腔食物残留;进食后声音沙哑变湿;流涎,低头时明显;唾液或痰液中有食物残渣;夜间唾液呛咳;消瘦;反复咳嗽咳痰、发热或肺部感染等。此时患者应尽快到医院康复科或康复机构进行规范吞咽评估,及时诊治。(文、图/广州日报全媒体记者翁淑贤 通讯员许咏怡)

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BlobNotFoundThe specified blob does not exist. RequestId:ea110b42-301e-000e-7ce1-6bd462000000 Time:2019-09-15T16:19:41.8431402Z 吞咽障碍 | 患者
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我要纠错编辑:刘登亮 责任编辑:张福伟
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