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哮吼

最后审阅: 6 Oct 2024
最后更新: 28 Apr 2023

小结

定义

病史和体格检查

关键诊断因素

  • 激越时症状加剧
  • 特异性高音犬吠样咳嗽
  • 年龄:6 个月至 6 岁
完整详情

其他诊断因素

  • 男性
  • 深秋时节为发病高峰
  • 前驱症状
  • 突发性症状
  • 症状在夜间加重
  • 声音嘶哑
  • 呼吸窘迫(胸骨/肋间凹陷、喘鸣)
  • 持续激越
  • 昏睡
  • 胸腹反常运动
  • 疲劳
  • 缺氧体征(苍白或发绀)
  • 高碳酸血症征象(继发于 PaCO₂ 升高,产生意识水平下降)
完整详情

危险因素

  • 年龄:6 个月至 6 岁
  • 男性
  • 插管前
完整详情

诊断性检查

首要检查

  • 临床检查
完整详情

需考虑的检查

  • 颈部正位、侧位 X 线检查
完整详情

治疗流程

急症处理

轻度(休息时无喘鸣)

中度(休息时有喘鸣;无激越或昏睡)

重度(休息时有喘鸣,伴激越或昏睡)

撰稿人

作者

Candice Bjornson, MSc, MD, FRCPC

Associate Professor

University of Calgary

Calgary

Canada

利益声明

CB declares that she has no competing interests. CB is the author of several references in this topic.

David Johnson, MD

Professor

Department of Pediatrics and Physiology and Pharmacology

University of Calgary

Calgary

Canada

利益声明

DJ declares that he has no competing interests. DJ is the author of several references in this topic.

同行评议者

Ken Farion, MD

Assistant Professor

Pediatrics and Emergency Medicine

University of Ottawa

Ottawa

Canada

利益声明

KF declares that he has no competing interests.

Doreen Matsui, MD, FRCPC

Associate Professor

Departments of Paediatrics and Medicine

Children's Hospital of Western Ontario

London

Ontario

Canada

利益声明

DM declares that she has no competing interests.

Jeremy Hull, MBBS

Consultant Paediatrician

Children's Hospital and West Wing

John Radcliffe Hospital

Oxford

UK

利益声明

JH declares that he has no competing interests.

Steve Cunningham, MBBS, PhD

Consultant Respiratory Paediatrician

Department of Respiratory & Sleep Medicine

Royal Hospital for Sick Children

Edinburgh

UK

利益声明

SC declares that he has no competing interests.

Donna J. Lee, MD

Pediatric Pulmonology

Joseph M. Sanzari Children's Hospital,

Hackensack Meridian Health

Hackensack

NJ

利益声明

DL declares that he has no competing interests.

Deepak Mehta, MD, FRCS ( Oto)

Professor of Otolaryngology

Director Pediatric Aerodigestive Center,

Baylor College of Medicine,

Texas Children’s Hospital,

Houston

TX

利益声明

DM declares that he has no competing interests.

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