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喘鸣的一种罕见病因:先天性喉蹼。

An unusual cause of stridor: congenital laryngeal web.

作者信息

Derinöz Okşan, Şişmanlar Tuğba

机构信息

Department of Pediatrics, Division of Pediatric Emergency, Gazi University School of Medicine, Ankara, Turkey.

Department of Pediatrics, Division of Pediatric Chest Diseases, Gazi University School of Medicine, Ankara, Turkey.

出版信息

Turk Pediatri Ars. 2018 Sep 1;53(3):185-188. doi: 10.5152/TurkPediatriArs.2017.3922. eCollection 2018 Sep.

Abstract

Respiratory distress and stridor are some of the common presenting symptoms for children in Pediatric Emergency Department. Most of these children are diagnosed as having common illnesses such as laryngitis, croup or laryngomalacia. However, Pediatric Emergency physicians must keep in mind other rare respiratory diseases other than laryngitis or croup in the differential diagnosis of stridor. Stridor may occur due to congenital and acquired diseases. Laryngeal web is one of the rare congenital causes of stridor, which usually presents in the first weeks of life; however, it is very rarely diagnosed in the later period. Herein, we report a one-year-old boy who was evaluated for croup and was diagnosed as having laryngeal web.

摘要

呼吸窘迫和喘鸣是儿科急诊科儿童常见的就诊症状。这些儿童大多被诊断为患有喉炎、哮吼或喉软化症等常见疾病。然而,儿科急诊医生在鉴别诊断喘鸣时,必须考虑除喉炎或哮吼之外的其他罕见呼吸道疾病。喘鸣可能由先天性和后天性疾病引起。喉蹼是导致喘鸣的罕见先天性原因之一,通常在出生后的头几周出现;然而,在后期很少被诊断出来。在此,我们报告一名1岁男孩,他因哮吼接受评估,最终被诊断为喉蹼。

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本文引用的文献

1
Assessment and causes of stridor.喘鸣的评估和病因。
Paediatr Respir Rev. 2016 Mar;18:64-72. doi: 10.1016/j.prrv.2015.10.003. Epub 2015 Oct 23.
2
Viral croup: diagnosis and a treatment algorithm.病毒性喉炎:诊断与治疗方案
Pediatr Pulmonol. 2014 May;49(5):421-9. doi: 10.1002/ppul.22993. Epub 2014 Mar 5.
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The anterior laryngeal webs.先天性喉蹼
Otolaryngol Clin North Am. 2008 Oct;41(5):877-88, viii. doi: 10.1016/j.otc.2008.04.008.
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Congenital laryngeal webs: surgical management and clinical embryology.先天性喉蹼:手术治疗与临床胚胎学
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