[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fHKcsN4EmZXMGAfGQjoUvYFWcQNvs5wUcZ9GM_hATfQQ":8},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":56},200,"操作成功",{"id":12,"name":13,"describes":6,"symptoms":6,"checkup":6,"treatment":6,"seoTitle":14,"seoKeywords":15,"seoDescription":16,"coverVertical":6,"coverAcross":6,"introduceClassifications":17,"departments":53},4731,"咽肌麻痹"," 咽肌麻痹的症状、原因及治疗方法 | 健康指南\n"," 咽肌麻痹, 咽部肌肉麻痹, 咽肌麻痹症状, 咽肌麻痹原因, 咽肌麻痹治疗, 吞咽困难, 疾病护理\n"," 了解咽肌麻痹的症状、可能原因以及有效的治疗方法，帮助患者及其家属更好地应对这一咽部肌肉疾病。点击阅读全面的健康指南。",[18,23,28,33,38,43,48],{"id":19,"classification":20,"description":21,"sort":22,"diseaseId":12},155562,"概述","\u003Cp>　　咽部肌肉主要受咽丛而来的运动神经纤维所支配，以软腭瘫痪常见，发生原因可分为中枢性和周围性瘫痪两类。中枢性见于各种原因引起的延髓病变，如延髓瘫痪、脑炎、听神经瘤侵及延髓等。周围性麻痹则以多发性神经炎多见，其他如感染、重症肌无力、皮肌炎及颅底病变压迫第Ⅳ、Ⅴ、Ⅵ脑神经而引起。\u003C/p>",0,{"id":24,"classification":25,"description":26,"sort":27,"diseaseId":12},155563,"病因","\u003Cp>　　发生原因可分为中枢性和周围性瘫痪二类。中枢性见于各种原因引起的延髓病变，如延髓瘫痪、假性延髓瘫痪、小脑后下动脉血栓形成、脑炎、听神经瘤侵及延髓、延髓空洞症等。周围性麻痹则以多发性神经炎多见，其他如感染、颈静脉孔综合征、肉毒杆菌中毒、重症肌无力、皮肌炎及颅底病变(外伤、肿瘤)压迫第Ⅳ、Ⅴ、Ⅵ脑神经而引起。\u003C/p>",1,{"id":29,"classification":30,"description":31,"sort":32,"diseaseId":12},155564,"症状","\u003Cp>　　常见症状：说话带鼻音\u003C/p>\u003Cp>根据病变范围不同，咽肌麻痹可分为完全性或不完全性，单侧或双侧性。单侧麻痹常无症状，双侧则较重，由于软腭麻痹，鼻咽不能闭合，患者说话时有开放性鼻音，进流质饮食时易返流于鼻腔，进食固体食物则影响不大。\u003C/p>\u003Cp>　　查体，张口发“啊”音时，可见健侧移动而患侧不能上举;若两侧麻痹，则软腭松弛，不能上抬。咽缩肌麻痹，则在梨状窝中可见唾液或食物潴留。\u003C/p>",2,{"id":34,"classification":35,"description":36,"sort":37,"diseaseId":12},155565,"检查","\u003Cp>　　检查项目：耳鼻咽喉CT检查\u003C/p>\u003Cp>　　影像学检查可以明确病因，指导治疗。X线检查X线胸部平片可了解纵隔有无占位性病变压迫食管及食管有无异物等；食管X线钡餐检查可观察钡剂有无滞留，以判断病变为梗阻性或肌蠕动失常性。必要时采用气钡双重吞咽困难胸片造影了解食管黏膜皱襞改变。内镜及活组织检查可直接观察到食管病变。\u003C/p>",3,{"id":39,"classification":40,"description":41,"sort":42,"diseaseId":12},155566,"鉴别","\u003Cp>　　主要是中枢性和周围性瘫痪两者之间的鉴别。周围性瘫痪又称下运动神经元性瘫痪，或称弛缓性瘫痪、软瘫。是因脊髓前角细胞及脑干运动神经核，及其发生的纤维—脊髓前根、脊神经、颅神经受损害产生的瘫痪。由于下运动神经元受损，使其所支配的肌肉得不到应有的冲动兴奋，所以，在临床上表现出肌张力降低，腱反射减弱或消失，伴肌肉萎缩，但无病理反射。\u003C/p>",4,{"id":44,"classification":45,"description":46,"sort":47,"diseaseId":12},155567,"并发症","\u003Cp>　　咽缩肌麻痹时，吞咽机能受到影响，早期进流质有困难，而进食固体食物无阻挡，逐渐发展可有误吸入喉内的危险。吞咽困难(dysphagia)是指食物从口腔至胃、贲门运送过程中受阻而产生咽部、胸骨后或食管部位的梗阻停滞感觉。进食流质或固体食物均无困难，这类患者常伴有神经官能症的其他症状。\u003C/p>",5,{"id":49,"classification":50,"description":51,"sort":52,"diseaseId":12},155568,"治疗","\u003Cp>　　针对病因治疗。中枢性者请内科、神经科协同诊治。对周围性麻痹患者可用抗胆碱脂酶药或神经兴奋剂、维生素类药物治疗，并可进行针灸治疗。咽缩肌瘫痪不能进食或有误吸者应插鼻胃管。针刺疗法。常用的穴位有风池、大椎、少商、廉泉、天枢、曲池等。\u003C/p>",6,[54,55],"神经内科","急诊科",true]