Dobrescu O, Geoffroy L, Rousseau E
Département de pédiatrie, hôpital Sainte-Justine, Montréal, Canada.
Pediatrie. 1992;47(3):195-200.
Acute laryngitis is the most common form of upper airway obstruction in young children. Laryngeal obstruction requiring hospitalization and sometimes intubation may be due to viral infection or occasionally to allergic reaction. The natural course of the disease is impossible to predict; therefore, repeated clinical assessments are needed. Continuous worsening of dyspnea may suggest a diagnosis of bacterial tracheitis. High doses of corticosteroids combined with aerosolized racemic epinephrine can relieve the respiratory difficulties.
急性喉炎是幼儿上呼吸道梗阻最常见的形式。需要住院治疗甚至有时需要插管的喉梗阻可能是由病毒感染引起，偶尔也可能是过敏反应所致。该病的自然病程难以预测，因此需要反复进行临床评估。呼吸困难持续加重可能提示细菌性气管炎的诊断。大剂量皮质类固醇联合雾化消旋肾上腺素可缓解呼吸困难。
