小儿急性喉炎治疗193例

目的　分析糖皮质激素在小儿急性喉炎中的治疗价值。方法　回顾分析了山西医科大学第一临床医学院耳鼻喉科收治的１９３ 例小儿急性喉炎，其中２５ 例单纯用抗生素治疗，另１６８ 例加用糖皮质激素治疗。结果　１９３ 例患儿全部痊愈出院，但单纯用抗生素治疗组，出现Ⅲ度以上喉阻塞需行气管切开者占２０ ％ ；而加用糖皮质激素组，需行气管切开者占４ ．８ ％ ，两组差异显著。结论　糖皮质激素可以减轻小儿急性喉炎时的喉阻塞程度，降低气管切开率。

Treatment of acute laryngitis in children:a review of 193 cases

Objective To evaluate the value of glucocorticoids in the treatment of acute laryngitis in children. Methods The clinical data of 193 children with acute laryngitis was analysed. The patients consisted of 25 treated with antibiotics only and 168 treated with glucocorticoids besides antibiotics. Results All 193 patients were cured and discharged. However,20% of the patients treated with antibiotics only had severe laryngeal obstruction and received tracheoctomy, while 4.8% of patients treated with glucocorticoids besides antibiotics received tracheoctomy. Conclusion The use of glucocorticoids can relieve the laryngeal obstruction of the acute laryngitis in children and decrease the percentage of patients receiving tracheoctomy.