Department of Pediatrics, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, 751024, India.
Department of ENT, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Indian J Pediatr. 2021 Nov;88(11):1115-1120. doi: 10.1007/s12098-021-03722-8. Epub 2021 Mar 17.
To evaluate various causes of pediatric stridor and their management among admitted patients in last 2 y.
Retrospective study of 67 stridor cases in pediatric age group (from birth to 18 y), admitted to the Department of Pediatrics and ENT (Ear, Nose and Throat) from May 2018 to April 2020 were included in the study. Data were obtained from medical records regarding age, gender, clinical presentation, and management.
Out of 67 cases of pediatric stridor, 28.3% were infants, 50.7% were between 1 to 5 y, while 20.9% were between 5 to 18 y. Foreign body trachea (FB) was the most common (38.8%) cause of stridor. The commonest cause of stridor among infants was laryngomalacia (47.4%) while FB trachea (55.9%) was the commonest cause among 1 to 5 y age group. In age group between 5 to 18 y, peritonsillar abscess and bacterial tracheitis (21.4% each) were found to be the most common. Primary management with securing of airways were done in all cases. Curative treatment was provided according to the underlying pathology. Eight patients (11.9%) required tracheostomy to bypass airway obstruction. There was no mortality in the present study population.
Pediatric stridor management is a teamwork between ENT surgeons, pediatricians, and anaesthetists. Management starts with suspicion from history followed by clinical and radiological evaluation. Securing airway is of utmost importance and precise management of cause is carried out later.
评估过去 2 年中住院患儿喉喘鸣的各种病因及其治疗方法。
对 2018 年 5 月至 2020 年 4 月期间在儿科和耳鼻喉科（耳、鼻、喉）住院的 67 例儿童喉喘鸣患者进行回顾性研究。从病历中获取有关年龄、性别、临床表现和治疗方法的数据。
在 67 例小儿喉喘鸣患者中，28.3%为婴儿，50.7%为 1 至 5 岁，20.9%为 5 至 18 岁。气管异物（FB）是最常见的（38.8%）喘鸣原因。婴儿中最常见的喘鸣原因是喉软化（47.4%），而 1 至 5 岁年龄组中最常见的是 FB 气管（55.9%）。在 5 至 18 岁年龄组中，扁桃体周围脓肿和细菌性气管炎（各占 21.4%）是最常见的病因。所有病例均采用确保气道通畅的初级治疗。根据潜在病理提供治愈性治疗。8 例（11.9%）患者需要气管切开术以绕过气道阻塞。本研究人群无死亡病例。
小儿喉喘鸣的治疗是耳鼻喉科医生、儿科医生和麻醉师之间的团队合作。治疗从病史怀疑开始，随后进行临床和影像学评估。确保气道通畅至关重要，随后进行病因的精确治疗。
