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喉软化、气管软化和支气管软化。

Laryngomalacia, Tracheomalacia and Bronchomalacia.

作者信息

Hysinger Erik B

机构信息

Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH.

出版信息

Curr Probl Pediatr Adolesc Health Care. 2018 Apr;48(4):113-118. doi: 10.1016/j.cppeds.2018.03.002. Epub 2018 Apr 3.

Abstract

Airway malacia can occur in the larynx (larygomalacia), trachea (tracheomalacia), or bronchi (bronchomalacia). As a group these are the most common congenital abnormalities of the pediatric airway and are characterized by increased airway compliance, resulting in excessive dynamic collapse during the respiratory cycle. While a diagnosis can be suspected based on clinical history and physical examination, definitive evaluation is based of nasopharyngolaryngoscopy and/or bronchoscopy. Observation and conservative management are typically all that are required. However, surgical intervention can be necessary in the most severe cases, and can result in significant improvement in symptoms.

摘要

气道软化可发生于喉部(喉软化)、气管(气管软化)或支气管(支气管软化)。作为一个整体,这些是儿科气道最常见的先天性异常,其特征是气道顺应性增加,导致呼吸周期中过度的动态塌陷。虽然根据临床病史和体格检查可怀疑诊断,但明确的评估基于鼻咽喉镜检查和/或支气管镜检查。通常仅需观察和保守治疗。然而,在最严重的情况下可能需要手术干预,这可使症状得到显著改善。

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