Thierry B, Denoyelle F
Hôpital universitaire Necker-Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France.
Arch Pediatr. 2014 Jul;21(7):809-11. doi: 10.1016/j.arcped.2014.04.005. Epub 2014 Jun 10.
Pediatric stridor is usually due to benign laryngomalacia. This pathology of unknown origin usually heals spontaneously during the first 18 months of life. Mild laryngomalacia is characterized by normal weight growth, the absence of sleep apneas and of associated swallowing or neurological disorders. Medical treatment is sufficient to release symptoms. Severe clinical forms are more rare, representing about 10 % of cases. They require an endoscopic evaluation of the upper airway under general anesthesia, as well as an endoscopic suppraglottoplasty. Non-invasive ventilation is an interesting additional tool in case of surgical failures or in some infants with comorbid conditions.
小儿喘鸣通常是由良性喉软化症引起的。这种病因不明的病症通常在出生后的头18个月内自愈。轻度喉软化症的特征是体重正常增长,无睡眠呼吸暂停以及相关的吞咽或神经障碍。药物治疗足以缓解症状。严重的临床症状较为少见,约占病例的10%。它们需要在全身麻醉下对上呼吸道进行内镜评估,以及进行内镜声门上成形术。对于手术失败的病例或一些患有合并症的婴儿,无创通气是一种有趣的辅助手段。