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頁籤選單縮合
題名 | Intractable Wheezing and Swallowing Problem in an Infant: Report of One Case=吞嚥障礙的幼兒併發頑固性喘鳴:一病例報告 |
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作者姓名(中文) | 陳力振; 黃璟隆; | 書刊名 | 臺灣兒科醫學會雜誌 |
卷期 | 40:5 民88.09-10 |
頁次 | 頁341-343+363 |
分類號 | 417.5343 |
關鍵詞 | 喘鳴; 吸入性肺炎; 吞嚥障礙; 鼻胃管餵食; Wheezing; Aspiration pneumonia; Swallowing problem; |
語文 | 英文(English) |
中文摘要 | 一罹患頑固性喘鳴的九個月大女性幼兒,曾多次併發吸入性肺炎,對一般呼吸道 感染治療反應不佳,也沒有發現任何致病原。依據病史得知她在被餵食時,常易有嗆奶的現 象發生,由食道攝影檢查,可明顯發現有顯影劑被吸入氣管中,而懷疑此幼兒有吞嚥方面的 問題,因為吞嚥困難的嬰幼兒,較易有吸入性肺炎表現,經由鼻胃管餵食後,幼兒的呼吸道症 狀也因此得到明顯改善。一個月後,根據臨床症狀及肺部X光在適當冶療下的改善情況,更 有力證實吞嚥障礙與喘鳴的關係。因此,樅使生長發育正常的幼兒有頑固性喘鳴,乃不可忽 略是否有吞嚥問題的可能性。 |
英文摘要 | A 9-month-old female infant with intractable wheezing and frequent aspiration pneumonia was poor response to the usual treatment for respiratory disease. The barium swallow test revealed barium aspirating into trachea directly. Because of the high-risk nature for aspiration in the swallowing disorder infant, a nasogastric tube feeding therapy was prescribed. Fortunately, her symptoms were greatly reduced. One month later, the clinical and roentgenographic findings strong/v support a causal relationship between swallowing problem and wheezing. Therefore, swallowing problem should be considered when a young infant has refractory wheezing, even when there is no developmental problem. |
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