Dubreuil C
Centre hospitalier Lyon-Sud, U 51 Service ORL, Pierre-Bénite, France.
Pediatrie. 1987;42(4):273-9.
Laryngo-tracheal stenoses in children are a frequent complication after endotracheal intubation and intubation-tracheostomy. It is important to distinguish inflammatory from fibrous stenosis for prognosis and treatment. One must always evoke the diagnosis of stenosis when a child previously had an endotracheal intubation. Endoscopy must be performed with a rigid endoscope. Treatment consists in preventive medical treatment of granulomatous stenoses (steroids, laser dioxide) and laryngoplasty with or without prosthesis when fibrous stenoses is constituted. Anterior ring cricotomy may prevent subglottic stenoses.
儿童喉气管狭窄是气管插管和气管切开插管后的常见并发症。区分炎症性狭窄和纤维性狭窄对于预后和治疗很重要。当儿童既往有气管插管史时，必须始终考虑狭窄的诊断。必须使用硬式内镜进行内镜检查。治疗包括对肉芽肿性狭窄进行预防性药物治疗（类固醇、二氧化碳激光），以及在形成纤维性狭窄时进行有或无假体的喉成形术。前环状软骨切开术可预防声门下狭窄。
