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在儿科临床实践中,当插鼻胃管或pH探子时,或食道测压期间估价吞咽功能时引出婴儿的吞咽常常是有用的。成人可简单让其咽一点水(“湿吞咽”)或咽一点自己的唾液(“干吞咽”),但婴儿喂流食引出湿吞咽常伴呛咳或窒息)而干吞咽则难以引出。作者观察到向婴儿面部轻吹一口气即能可靠引出吞咽,后来发现这种操作法(作者称之为“Santmyer吞咽”)在临床上很有用。对象和方法对97名儿童和5名成人给予Santmyer吞咽刺激。用于协助插鼻胃管或pH探子有70名小儿(年龄1周～12个月),用于食管测压时诱发吞咽有6名婴幼儿(年龄1个月～23个月)和2名伴严重发育迟缓和/或脑性瘫痪的年长儿童(9～11岁)。另对未经食道器具检查的19名儿童和5名成人也给予这种刺激进一步估价Santmyer吞咽:这些儿童包括
In pediatric clinical practice it is often useful to elicit swallowing of a baby when swallowing a tube or pH probe, or assessing swallowing during esophageal manometry. Adults can simply swallow a little water (“wet swallowing”) or swallow their own saliva (“swallowing dry”), but babies feed the wet swallow often accompanied by choking or asphyxiation) while swallowing is hard to elicit. The authors observed that gently blowing a breath into the face of a baby can reliably lead to swallowing. Later, it was found clinically useful for this procedure, which the author called “Santmyer swallowing.” Subjects and Methods Santmyer swallowed 97 children and 5 adults. Used to assist in nasogastric tube or pH probe 70 children (age from 1 week to 12 months) for esophageal manometry when swallowing induced 6 infants (age 1 months to 23 months) and 2 Elderly children (9-11 years old) with severe stunting and / or cerebral palsy. Another 19 children and 5 adults who did not have esophageal instrumentation were given this stimulus to further evaluate Santmyer’s swallowing: these children included