Pediatric laryngitis is a disease that occurs from time to time, of which acute laryngitis we have to pay special attention to the child after the disease, there will be abnormal performance, we have to make timely judgments, but also to accurately check the diagnosis.
Acute laryngitis in children
1, early onset: Some children without any aura symptoms. Some are sick in the middle of the night, began to bursts cough. Or after the event appeared inspiratory throat and inspiratory dyspnea, auscultation of breath sounds clear, normal heart rate.
2, early onset: a slight cold symptoms, may not be associated with fever, or only mild fever. Hypnotism and inspiratory dyspnea occur when quiet, showing “哐 哐 哐” sound or dog barking, that is, like a dog cough sound, throat snore, it seems that cough can not sputum. Auscultation can be heard and throat conduction or tubular breath sounds, heart rate faster, up to 120-140 beats / min, at the same time began to appear hoarseness.
3, the incidence of mid-term: In addition to early onset symptoms, but also paroxysmal irritability, lips, nails cyanosis, pale blue or pale mouth, auscultatory lung breath sounds weakened or inability to hear, blunt heart rate, heart rate of 140 to 160 times / Minute.
4, exacerbation of the disease: the general condition of light during the day and aggravate at night, laryngeal edema often occurs due to the rapid development of laryngeal inflammation at night, resulting in acute laryngeal obstruction. Children may be due to difficulty breathing and awoke, the sound will be more severe hoarseness, breath nasal incitement, inhalation, “three concave sign”, that appear supraclavicular fossa, suprasternal fossa and upper abdomen depression, baby lips bruising, Pale. Accompanied by high fever, irritability, sweating and so on. If the condition aggravates further, it may turn from restlessness to semi-coma or unconsciousness, presenting symptoms of being temporarily quiet, pale, incontinence, asphyxia and coma, and may even result in death from suffocation in children. These changes often take place in hours, quite dangerous, parents must not be taken lightly.
Pediatric laryngitis judge
More acute onset, more than fever, hoarseness, cough and so on. Initial hoarseness is not serious, when there is crying crying, then inflamed infringement and subglottic region, then into “empty”, “empty” cough sound, night sound symptoms worse. Severe illness may appear aspiration throat wheeze, inspiratory difficulty breathing, suprasternal fossa, supraclavicular fossa, intercostal and upper abdominal soft tissue inspiratory trauma symptoms such as laryngeal obstruction. Serious children around the mouth and nose cyanosis or pale, toe cyanosis, with varying degrees of irritability, sweating. If not treated, pale, breathless, circulatory, respiratory failure, coma, convulsions, and even death.
More secondary to rhinitis, pharyngitis, upper respiratory tract infection. For the epidemic of influenza, pneumonia, measles, chickenpox, whooping cough, scarlet fever and other acute infectious diseases of the precursor disease.
Acute laryngitis in children
1, direct laryngoscopy: visible laryngeal mucosal congestion, swelling, vocal cord also red bloodshot, there is dilation of blood vessels, glottis often accompanied by viscous secretions, subglottic mucosal swelling to the middle prominent a narrow cavity.
2, auscultation of the lung and pleura: lung and pleura auscultation is the most basic lung examination, one of the most important methods for the diagnosis of pulmonary disease is of great significance.
3, physical examination: Visible throat congestion, fake vocal cord swelling, subglottic mucosa was spindle-shaped swelling. According to the extent of the lesion may occur throat and inspiratory dyspnea, pulmonary auscultation can smell throat conduction or tubular breath sounds.
Diagnosis of acute laryngitis in children
As for the laryngoscopy, visible throat mucosal congestion, swelling, vocal cord also red bloodshot, there is dilatation of blood vessels, often associated with purulent mucosal secretions, subglottic mucosal swelling to the middle prominent a narrow cavity. Diagnosis based on its unique symptoms such as: hoarseness, throat wheezing, “empty”, “empty” kind of cough sound, aspiration of breathing difficulties, no more diagnosis. If necessary, laryngoscopy.