Gemke R J, van der Baan S, Ekkelkamp S, Samsom J F
Afd. Kindergeneeskunde, Academisch Ziekenhuis Vrije Universiteit, Amsterdam.
Ned Tijdschr Geneeskd. 1990 Mar 17;134(11):541-3.
Congenital laryngeal obstruction is a rare but serious cause of severe, often fatal, post partum asphyxia. The condition should be recognized and in most cases an artificial airway has to be established immediately because hypoxia allows little time for extensive evaluation. Thereafter a further diagnostic procedure by means of laryngobronchoscopy and contrast laryngography should be performed. The clinical picture of two cases with a congenital laryngeal stenosis is described and the initial therapeutic approach is discussed.
先天性喉梗阻是产后严重窒息(常为致命性)的一种罕见但严重的病因。应识别该病症,在大多数情况下必须立即建立人工气道,因为缺氧使得进行全面评估的时间很少。此后,应通过喉镜支气管镜检查和造影喉镜检查进行进一步的诊断程序。本文描述了两例先天性喉狭窄的临床表现,并讨论了初始治疗方法。