Fu Jian-hua, Xue Xin-dong, Mao Jian, Li Juan, Chen Li-ying, Wang Xiao-ming, Wu Hong-min
Department of Pediatrics, Second Hospital, China Medical University, Shenyang 110004, China.
Zhonghua Er Ke Za Zhi. 2006 Mar;44(3):173-6.
To reduce misdiagnosis and explore etiology of laryngeal stridor in neonates.
Sixteen neonates with laryngeal stridor were reviewed. All the patients were examined with CT scan for larynx and lungs and some were examined with laryngoscopy. Laboratory examination and chromosome analysis were also done in all or some patients.
All the 16 neonates were diagnosed before admission as congenital simple laryngeal stridor in other hospitals. Of the 16 neonates with laryngeal stridor, 5 (31%) had thyroglossal ductal cyst, 1 (6%) neonate with cri du chat (5p(-)) syndrome, 2 (13%) neonates with Pierre-Robin syndrome and the rest 8 (50%) were suspected of congenital simple laryngeal stridor.
Neonates with laryngeal stridor are easily misdiagnosed; neonatal thyroglossal duct cyst is one of common causes. The diagnosis for a congenital simple laryngeal stridor should be carefully made excluding the possibility of related diseases. The authors recommend that laryngoscopy and CT scan for larynx should be performed in the neonates with laryngeal stridor.
减少新生儿喉喘鸣的误诊并探讨其病因。
回顾性分析16例新生儿喉喘鸣病例。所有患儿均行喉部及肺部CT扫描，部分患儿行喉镜检查。全部或部分患儿还进行了实验室检查及染色体分析。
16例患儿入院前在其他医院均被诊断为先天性单纯性喉喘鸣。16例喉喘鸣患儿中，5例（31%）患有甲状舌管囊肿，1例（6%）患有猫叫综合征（5p(-)），2例（13%）患有皮埃尔 - 罗宾综合征，其余8例（50%）疑似先天性单纯性喉喘鸣。
新生儿喉喘鸣易被误诊；新生儿甲状舌管囊肿是常见病因之一。诊断先天性单纯性喉喘鸣时应仔细排除相关疾病的可能性。作者建议对喉喘鸣新生儿行喉镜检查及喉部CT扫描。
