CAJ | 학술논문

目的探讨小儿喉梗阻的病因、临床特点及其处理方法. 方法分析1465例不同原因引起喉喉梗阻患儿的临床资料,总结其临床特点及处理方法. 结果 1465例患儿中会厌、舌根囊肿186例,均在支撑喉镜下行囊肿切除; 459例喉及气管异物均成功取出异物,1例因双侧气胸发生死亡;491例急性喉炎及急性喉气管支气管炎,经抗炎、雾化、消肿及支气管镜检等治疗,489例痊愈,2例死亡;314例喉乳头状瘤患儿中312例接受手术治疗,切除肿块喉梗阻改善,2例患儿窒息死亡;15例颈部脓肿患儿行手术切开排脓,14例痊愈. 结论小儿急性喉梗阻尽早明确诊断,积极治疗,可有效解除喉梗阻,降低严重并发症发生率.
목적 탐토소인후경조적병인、림상특점급기처리방법. 방법 분석1465례불동원인인기후후경조환인적림상자료,총결기림상특점급처리방법. 결과 1465례환인중회염、설근낭종186례,균재지탱후경하행낭종절제; 459례후급기관이물균성공취출이물,1례인쌍측기흉발생사망;491례급성후염급급성후기관지기관염,경항염、무화、소종급지기관경검등치료,489례전유,2례사망;314례후유두상류환인중312례접수수술치료,절제종괴후경조개선,2례환인질식사망;15례경부농종환인행수술절개배농,14례전유. 결론 소인급성후경조진조명학진단,적겁치료,가유효해제후경조,강저엄중병발증발생솔.
Objective To evaluate the clinical etiopathogenisis,the characteristic, the diagnose and the treatment of laryngeal obstruction in children. Method 1465 cases with laryngeal obstruction were reviewed. Result 186 cases of congenital vallecular cyst and tongue base cyst were treated by undertaken endoscopic,459cases with foreign body in larynx or trachea removal of foreign body successfully,1 case dead because of bilateral pneumothorax,491cases with acute laryngitis or acute laryngotracheal bronchitis,among 489 cases were recovery who treated by antiinflammatory,atomization,detumescence and bronchoscopy,2cases dead. 314 cases with laryngeal papilloma,among 312cases received surgery and improved laryngeal obstruction. 15cases with abscess of neck,among 14 cases undertook purulent discharge were recoveryed. Conclusion The early diagnosis and active treatment of laryngeal obstruction in children was important,and removal of laryngeal obstruction,lower incidence rate of severity complication.