中国实用儿科杂志
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摘要: 喉喘鸣是由多种病因引起、常伴多种临床表现的婴幼儿临床症状,病因不仅包括咽喉部疾病,亦可由声门下及气管病变引起,故纤细柔软的可弯曲支气管镜可对其进行全面评估及诊断,文章根据解剖部位对喉软化等13种疾病进行镜下诊断。且随着介入呼吸病学的快速发展,消融术、球囊扩张术及支架置入术等支气管镜介入技术为引起喉喘鸣的相关疾病提供了微创的治疗方法。未来随着越来越多的儿科呼吸介入医生关注咽喉部病变的诊疗,将会极大提升喉喘鸣的诊疗水平。
关键词: 喉喘鸣, 儿童, 可弯曲支气管镜, 诊断, 介入治疗
Abstract: Laryngeal stridor is caused by a variety of causes,often accompanied by a variety of clinical manifestations and clinical symptoms,and the causes include not only laryngopharyngeal diseases,but also subglottic and tracheal lesions. Therefore,the thin and soft flexible bronchoscopy can evaluate and diagnose the laryngeal stridor comprehensively. In this paper,laryngomalacia and other 13 diseases were diagnosed by the flexible bronchoscopy according to the anatomical sites. With the rapid development of interventional pulmonology,the bronchoscope interventional techniques such as ablation,balloon dilatation and stenting have provided minimally invasive therapy for laryngeal stridor. In the future,with more and more pediatric respiratory interventional doctors paying attention to the diagnosis and treatment of laryngopharyngeal lesions,the diagnosis and treatment level of laryngeal stridor will be greatly improved.
Key words: laryngeal stridor, child, flexible bronchoscope, diagnosis, interventional therapy
王丽娜,孟繁峥. 现代儿科呼吸介入技术在喉喘鸣中的应用进展[J]. 中国实用儿科杂志, DOI: 10.19538/j.ek2020100602.
WANG Li-na,MENG Fan-zheng. Application progress of modern pediatric respiratory intervention techniques in laryngeal stridor[J]. CJPP, DOI: 10.19538/j.ek2020100602.
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http://www.zgsyz.com/zgsyek/CN/Y2020/V35/I10/753