Bank D E, Krug S E
University of California, San Diego, USA.
Emerg Med Clin North Am. 1995 May;13(2):473-87.
Although laryngotracheobronchitis is the most common upper respiratory tract disorder in pediatrics, several other diseases are potentially life-threatening. The emergency physician must recognize both the obvious and subtle distinctions among upper airway diseases. The status of the patient's airway remains the primary concern regardless of the suspected disorder, but further definitive care depends on the specific disease entity. The prompt recognition and action of both the prehospital care provider and the ED physician in maintaining a critical airway and supporting ventilation until definitive pediatric critical or surgical care can be delivered is essential in ensuring optimal outcome for children suffering from a life-threatening upper airway illness.
尽管喉气管支气管炎是儿科最常见的上呼吸道疾病，但其他几种疾病也可能危及生命。急诊医生必须认识到上气道疾病之间明显和细微的区别。无论怀疑何种疾病，患者气道的状况始终是首要关注点，但进一步的明确治疗取决于具体的疾病实体。在能够提供确定性的儿科重症或外科治疗之前，院前护理人员和急诊科医生迅速识别并采取行动以维持关键气道和支持通气，对于确保患有危及生命的上气道疾病的儿童获得最佳治疗结果至关重要。
