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喉软骨软化

最后审阅: 12 Nov 2024
最后更新: 13 Dec 2022

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 喘鸣
  • 出生 2 周内发病
  • 气道阻塞的特征
  • 在 2 岁之前症状缓解
  • 正常哭闹
完整详情

其他诊断因素

  • 喂食困难
  • 体重下降或生长迟缓
  • 肌张力过低
  • 畸形特征
完整详情

危险因素

  • 胃食管反流病 (GORD)
  • 神经系统异常
  • 喉解剖异常
  • 男性
  • 遗传性综合征疾病
完整详情

诊断性检查

首要检查

  • 可曲性喉镜检查
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需考虑的检查

  • 硬管喉镜检查
  • FEES 测试
  • 多导睡眠图
  • 胸部 X 线检查
  • 颈侧片
  • 心电图 (ECG)
  • 超声心动图
完整详情

治疗流程

持续性治疗

轻度疾病

中度疾病

重度疾病

撰稿人

作者

Simone J. Boardman, MBBS, FRACS (OHNS)

Consultant Paediatric Otolaryngologist

The Children's Hospital at Westmead

Sydney

Australia

利益声明

SJB declares that she has no competing interests.

鸣谢

Dr Simone Boardman would like to gratefully acknowledge Mr C. Martin Bailey, a previous contributor to this topic.

利益声明

CMB is an author of a number of references cited in this topic.

同行评议者

Kevin Pereira, MD

Director

Pediatric Otolaryngology-HNS

University of Maryland School of Medicine

Baltimore

MD

利益声明

KP declares that he has no competing interests.

Haytham Kubba, FRCS

Consultant Paediatric Otolaryngologist

Royal Hospital for Sick Children (Yorkhill)

Glasgow

UK

利益声明

HK declares that he has no competing interests.

Gresham Richter, MD

Assistant Professor

Associate Residency Program Director

Otolaryngology - Head and Neck Surgery

University of Arkansas for Medical Sciences

Little Rock

AR

利益声明

GR declares that he has no competing interests.

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