Waalkens H J, Wouters B, Zwaans-Hesselink A G, Gerritsen J
Ned Tijdschr Geneeskd. 1989 Oct 7;133(40):1981-4.
Stridor is the presenting symptom of abnormalities of larynx and trachea in children. The anatomical differences in size and consistency of the larynx play a crucial role in stridor in children as compared with adults. From 1983 to 1988, 81 children (65 males, 16 females) with severe or prolonged stridor were admitted to our hospital. Thorough examination, including endoscopy of larynx and trachea and radiology revealed various congenital abnormalities and acquired conditions as the cause of stridor. Congenital laryngeal anomalies accounted for stridor in 26 children, there were 12 children with congenital tracheal or vascular anomalies, 28 with infectious diseases and 15 with other diseases. Intubation and (or) tracheotomy were performed in one-third of the patients: 5 of them died of severe complications. For proper treatment of children with stridor it is essential to investigate its aetiology carefully.
喘鸣是儿童喉和气管异常的主要症状。与成人相比,儿童喉部在大小和质地方面的解剖学差异在喘鸣中起着关键作用。1983年至1988年,我院收治了81例患有严重或持续性喘鸣的儿童(男65例,女16例)。全面检查,包括喉镜和气管镜检查以及放射学检查,发现各种先天性异常和后天性疾病是喘鸣的病因。先天性喉部异常导致26例儿童喘鸣,12例患有先天性气管或血管异常,28例患有传染病,15例患有其他疾病。三分之一的患者进行了插管和(或)气管切开术:其中5例死于严重并发症。为了正确治疗喘鸣儿童,仔细调查其病因至关重要。