Graf Jeanine, Stein Fernando
Baylor College of Medicine, Houston, TX 77030, USA.
Semin Pediatr Infect Dis. 2006 Jan;17(1):11-3. doi: 10.1053/j.spid.2005.11.004.
Despite the advances that have been achieved in supportive pediatric intensive care, tracheitis remains a significant cause of reversible upper-airway obstruction in pediatric patients. This discussion highlights the epidemiology and clinical presentation of tracheitis in the twenty-first century and reviews diagnostic and therapeutic modalities. The gold standard for therapy remains supportive airway management in conjunction with appropriate antibiotic therapy. Finally, the unique challenges of diagnosis and treatment of tracheitis in the technology dependent child with an existing artificial airway (endotracheal tube or tracheostomy) are addressed.
尽管小儿重症监护支持方面已取得进展，但气管炎症仍是小儿患者可逆性上呼吸道梗阻的重要原因。本讨论重点介绍21世纪气管炎症的流行病学和临床表现，并回顾诊断和治疗方法。治疗的金标准仍然是支持性气道管理并结合适当的抗生素治疗。最后，还讨论了患有现有人工气道（气管内插管或气管造口术）的依赖技术的儿童气管炎症诊断和治疗的独特挑战。
