Friedman E M, Jorgensen K, Healy G B, McGill T J
Laryngoscope. 1985 Jan;95(1):9-11. doi: 10.1288/00005537-198501000-00005.
Inflammatory illnesses of the pediatric airway cause significant morbidity and mortality. Bacterial tracheitis is a distinct entity with features common to both croup and epiglottitis. Ten patients between the ages of 3 months and 12 years were treated at Children's Hospital, Boston, MA., for bacterial tracheitis. The clinical presentation and medical management is discussed. Seven of the patients required both direct laryngoscopy and bronchoscopy; one patient required urgent intubation; and one patient required indirect laryngoscopy. In one patient the diagnosis was based on clinical and radiographic findings in conjunction with tracheal aspirates. Seven of the 10 patients did well with aggressive medical management. Three patients required endotracheal intubation. No patient required tracheotomy, and there were no cardiopulmonary arrests. It is of particular interest that although the patients in this series presented in a manner similar to that of patients in other published series, the management is significantly different and the overall outcome is significantly better.
小儿气道炎症性疾病可导致严重的发病和死亡。细菌性气管支气管炎是一种独特的疾病，具有哮吼和会厌炎的共同特征。马萨诸塞州波士顿儿童医院对10名年龄在3个月至12岁之间的细菌性气管支气管炎患儿进行了治疗。文中讨论了临床表现和治疗方法。7名患儿需要进行直接喉镜检查和支气管镜检查；1名患儿需要紧急插管；1名患儿需要间接喉镜检查。1名患儿的诊断基于临床和影像学检查结果以及气管吸出物。10名患儿中有7名通过积极治疗效果良好。3名患儿需要气管插管。没有患儿需要气管切开术，也没有发生心肺骤停。特别值得注意的是，尽管该系列患儿的表现与其他已发表系列中患儿的表现相似，但治疗方法却有显著差异，总体结果也明显更好。
