误吸
- 网络aspiration;pulmonary aspiration;Macroaspiration
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细菌定植、误吸和机体抵抗力减弱是SAP发病机制中的重要环节。
Bacterial colonization , aspiration and decreased body resistance are the important links in pathogenetic mechanism .
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结果:误吸后血浆TNF-α和MDA水平升高,肺组织PMN数增多,维拉帕米和大剂量维生素C对此有抑制作用并能减轻肺的损伤。
Result : There were increases in TNF - α, MDA and PMN after acid aspiration , which can be inhibited by verapamil and vitamin C.
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ICU高龄患者误吸原因分析及干预措施
Analysis of the cause inducing mis-inhaling of ICU eld patient and the intervening measures for it
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结果无1例发生误吸,16例患者成功脱机转出ICU,3例死亡,1例出院。
Results None of them had aspiration , 16 cases got free of inspirators and out of ICU successfully , 3 cases dead , 1 case was discharged .
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结论:创伤严重程度、感染、休克、原发性肺损伤和误吸是并发ARDS的主要危险因素。
Conclusions : The results indicate that the prognosis of traumatic patients with ARDS depends on injury severity , infection , shock , primary lung injury and inhalation injury .
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结果在ARDS的病因中,脓毒症占41%,大手术后和严重创伤占36.3%,重症胰腺炎占8.8%,其他因素(包括中毒、酒后误吸、烧伤、中枢性疾病等)占13.9%。
Results In the ARDS pathogeny , sepsis accounted for 41 % , severe trauma and operation accounted for 36.3 % , severe pancreatitis for 8.8 % , and other for 13.9 % .
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背景:监测残留胃容量(RGV)以预防误吸是机械通气患者早期肠内营养(EN)的常规操作。
BACKGROUND : Monitoring of residual gastric volume ( RGV ) to prevent aspiration is standard practice in mechanically ventilated patients receiving early enteral nutrition ( EN ) .
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呕血、误吸、PPI大量使用等因素使肝硬化并发上消化道出血患者的消化道细菌发生迁移,常常会引发或加重肺部感染。
Vomiting , aspiration , extensive use of the PPI factors on liver cirrhosis complicated with gastrointestinal bleeding patients with gastrointestinal bacterial migration , often lead to or aggravate lung infection .
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结果年龄、GCS评分、肋骨骨折、肺挫伤、血气胸、呕吐误吸、PaO2/FiO2等因素统计学分析有显著性差异(P<0.05)。
Results There was significant difference between age , GCS , fracture of costa , lung injury , hematopneumothorax , inbreathing puke , PaO 2 / FiO 2 and ARDS ( P < 0.05 ) .
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目的探讨电视X线透视吞咽功能检查(videofluoroscopicswallowingstudy,VFSS)在卒中患者误吸评估中的应用价值,观察卒中后渗透/误吸发生率。
Objective To explore the effects of videofluoroscopic swallowing study ( VFSS ) in the assessment of penetration / aspiration in post-stroke patients , and study the frequency of penetration / aspiration following stroke .
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但MAC过程中没有对患者气道实行可靠的保护,仍存在呕吐、反流误吸的风险;术中偶尔出现体动,这些问题值得我们进一步研究,解决。
But the process of MAC is not implemented on a reliable airway protection , the risk of vomiting , regurgitation aspiration is still exist ; the body movement appears occasionally in the surgery , which merits we should further study and solve .
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方法脑卒中患者70例及健康成人80名分别作为研究组与对照组均进行VFSS,比较两组误吸等VFSS异常征象的发生情况。
Methods Seventy post-stroke patients and 80 normal adults were assigned to study group and control group and underwent VFSS .
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此外误吸与患者的处理能力、照顾者的类别、进食的体位、进食的方式有密切的关系,2组有显著性差异(P0.01)。
In addition , there was closed relationship between aspiration and self-care ability of patients , category of watcher , body posture of intaking food , mode of food intaking . There had significant difference between the two groups ( P 0.01 ) .
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再对这22个变量进行非条件Logistic回归分析表明:空腹血糖升高、留置胃管引起误吸、抗生素使用种类、雾化吸入为HCH感染的危险因素。
Unconditional Logistic regression analysis of the 22 variables indicated that rise of fasting blood - glucose , accidental inhalation of food resulting from indwelling stomach tube , kinds of antibiotics used and spray inhalation were the risk factors of HCH infection .
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近十年来对呼吸机相关性肺炎的发病机制研究有了较大的进展,认为VAP的发病主要是由于口咽部细菌繁殖和误吸导致分泌物吸入到下呼吸道,最终发生肺炎。
Great advance had made about nosogenesis of VAP in recently ten years , it believed that the VAP caused mainly by colonization of bacteria in oropharyngeal and inhale secretion into lower respiratory tract , which it developed to pneumonia .
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采用气管内插管及非气管性通气道(non-tracheaairway,NTA),用于麻醉、复苏等急危重病的通气及阻隔食管、气管,仍存胃内容物返流、误吸的危险。
Using intubatton in trachea and non-trachea airway ( NTA ) in ventilate , disturbance oesophagus and bronchia of acute and severe anaesthesia and anabiosis patients , but there were the danger of stomach adverse current and error absorb .
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结论根据AOPP患者特殊的气道生理特征而实施严格有效的气道护理,包括预防意外脱管、预防误吸、恰当湿化气道、预防人工气道感染等是确保机械通气治疗效果、顺利脱机的关键。
Conclusion Effective nursing care of airways based on their characteristics in AOPP patients including prevention of unexpected shedding and mistaken take-in , appropriate humidity of airways and prevention of infection of the airways is the key to ensure the therapeutic effect artificial ventilation .
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结论加强无菌观念,做好呼吸机管道的消毒管理,加强人工气道的护理和口鼻咽护理,防止误吸等对降低VAP的发生有着重要的意义。
Conclusion The ways for avoiding the incidence of the VAP are as follows : strengthening the sterile concept , attaching importance to the disinfection of the ventilator duct , emphasizing the nursing of the artificial air passage , mouth , nose and throat and preventing the mistake inhalation .
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通过VFSS疗效评价,电针治疗真性延髓麻痹引起的吞咽障碍能够缩短食物通过咽腔期的时间,减少会厌谷、梨状窝滞留和误吸。
By the the VFSS efficacy evaluation of swallowing disorders caused by electro-acupuncture treatment of true paralysis can shorten the food through the pharynx of the time , reduce the vallecula , pyriform sinus retention and aspiration .
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小儿烧伤后早期误吸13例临床分析
Cases and Control Measures of Early Aspiration in Pediatric Burn Victims
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目的探讨创伤性昏迷患者口咽反流与误吸的关系。
Objective To study the relation between oropharyngeal reflux and aspiration .
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老年人误吸发生的影响因素及治疗措施研究
Research of Risk and Therapeutic Measures of Aspiration in Elder Persons
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重型颅脑损伤返流与误吸临床分析
Clinical analysis of gastroesophageal reflux and aspiration after severe head injury
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小儿麻醉中的呕吐反流误吸49例临床分析
Aspiration of gastric contents in pediatric anaesthesia : analysis of 49 cases
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误吸患者1例临床抢救及护理体会
Clinical rescue and nursing of one case of mistake inhale
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卒中患者渗透/误吸的影像学初步研究
A Radiological Study of Penetration / Aspiration in Post-stroke Patients
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结果:患者术后发声功能良好,无误吸。
Results : The phonatory and deglutitory function were good .
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预防脑卒中病人误吸的护理研究
Study of Prevention of Accidental Taking in of Cerebral Apoplexy Patients in Nursing
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结论卒中后误吸在康复期较为常见,可出现在各种食团吞咽中。
Conclusion Aspiration is common in convalescent patients with stroke in restoration stage .
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体内异物误吸死亡15例分析
Analysis of 15 Cases of Death Caused by Accidentally Inhaling of Foreign Body