Botto Hugo Alberto, Pérez Cinthia Giselle, Cocciaglia Alejandro, Nieto Mary, Rodríguez Hugo Aníbal
Servicio de Endoscopía Respiratoria, Hospital de Pediatría Prof. Dr. Juan P. Garrahan.
Arch Argent Pediatr. 2015 Aug;113(4):368-72. doi: 10.5546/aap.2015.368.
Subglottic stenosis is among the most common causes of airway obstruction in children, 90% of which resulting from endotracheal intubation. The diagnosis is based on the patient's clinical, radiologic evaluation, flexible laryngoscopy and rigid airway endoscopy under general anesthesia. It must be suspected in children with respiratory distress after extubation. The therapeutic approach depends on the severity of the subglottic stenosis and the patient's symptoms. We describe our experience with the subglottic stenosis etiologies, diagnosis, treatment and outcome of patients with this condition.
声门下狭窄是儿童气道梗阻最常见的原因之一,其中90%由气管插管引起。诊断基于患者的临床症状、影像学评估、纤维喉镜检查以及全身麻醉下的硬质气道内镜检查。对于拔管后出现呼吸窘迫的儿童必须怀疑此病。治疗方法取决于声门下狭窄的严重程度和患者的症状。我们描述了我们在声门下狭窄病因、诊断、治疗及此类患者预后方面的经验。