小儿急性喉炎106例临床分析

目的分析小儿急性喉炎的临床特点,为临床早期诊治提供依据。方法回顾性分析我院2008年1月至2010年12月收治的小儿急性喉炎106例,对其临床特点、诊治经过及临床转归情况进行综合分析,总结诊治经验。结果 106例患儿均急性起病,年龄多在3岁以下,发病高峰为10月至次年2月,多以发热、咳嗽、声嘶及呼吸困难为首发症状,病程7～12 d,部分病例合并Ⅳ度喉梗阻、呼吸衰竭、心力衰竭等,全部病例除1例死亡外,其余均经综合治疗后治愈好转,其中气管切开2例。结论小儿急性喉炎均以呼吸道症状为主,合并Ⅲ～Ⅳ度喉梗阻为小儿呼吸道感染危重症之一,早期及时应用大剂量糖皮质激素,早期识别并发症,可迅速控制病情,明显减少气管切开的概率,降低病死率。

Clinial Analysis of 106 Children with Acute Laryngitis

Objective To analyze the clinical feature of acute laryngitis in children,provide the basis for clinical early diagnosis and treatment.Methods 106 children with acute laryngitis received by our hospital from January 2008 to December 2010 were analyzed retrospectively,comprehensive analysis of the clinical feature,course of diagnosis and treatment,clinical outcome were carried out.Results All of the 106 cases were acute onset,most of the children were under 3 years old,incidence peak was from October to the next February.The first symptoms were fever,cough,hoarseness and dyspnea.The course of disease was 7 to 12 days.Some cases combined with Ⅳ degree of laryngeal obstruction,respiratory failure,heart failure and so on.All patients except 1 patient died,the rest were cured or improved by combined treatment,including tracheotomy in 2 cases.Conclusion Respiratory symptom is the main symptom of acute laryngitis in children,combined with Ⅲ to Ⅳ degree of laryngeal obstruction is one of the critical illnesses in children with respiratory tract infections,early and timely application of high-dose corticosteroids,early identification of complications,can rapidly control the disease,significantly reduce tracheotomy probability and mortality.