小儿急性喉炎喉梗阻紧急救治.docVIP

小儿急性喉炎喉梗阻紧急救治 　 作者：郝丽丽 王智楠 徐忠强 【摘要】 目的 观察小儿急性喉炎喉梗阻紧急救治的最佳治疗方法的疗效。方法 将急性喉炎患儿34例随机分为治疗组24例和对照组10例,两组患儿入院后均采用抗炎、普米克雾化等对症综合治疗。试验组加用盐酸肾上腺素联合地塞米松庆大霉素三联液雾化吸入，一天三次。试验组1在声嘶或和喉梗阻体征消失后停用三联液雾化，试验组2则全程使用三联液雾化。对各组患者声嘶和喉梗阻改善的时间和住院时间进行比较。结果 试验组声嘶和喉梗阻改善的时间和住院时间显著缩短( P lt; 0. 05) ，试验组1和2之间各指标差异无显著性意义( P gt;0. 05)。结论　盐酸肾上腺素联合地塞米松庆大霉素三联液雾化吸入可迅速缓解急性喉炎患儿呼吸道梗阻及声嘶症状，对患儿的恢复有积极作用，但全程使用三联液没有显著性差异。 【关键词】 小儿急性喉炎 喉梗阻 盐酸肾上腺素 地塞米松 庆大霉素 雾化 【Abstract】Objective : To investigate the curative effect of combination inhalation of epinephrine hydrochloric acid and dexamethasone and gentamicin on acute laryngitis in children with laryngemphraxis. Method : 34 children with acute laryngitis were enrolled in a prospective , randomized trial .Testing group(24 cases) and control group (10 cases ) were treated with conventional therapy ,which consist of anti-inflammatory therapy and Pulmicort inhalation. While testing group took combination inhalation of adrenaline hydrochloride and dexamethasone and gentamicin additionally, and we observed and compare the symptoms improved time. Acorrding to the using time of combination inhalation , testing group was splited to two groups. testing group2 used combination inhalation whole crouse, while testing group1 stopped when symptoms improved . Results : The period of symptoms improved in control group was longer than testing group ，difference was statistically significant (Plt;0.05) , the difference was not statistically significant ( Pgt;0. 05) between the two testing groups. Conclusion : Combination inhalation of adrenaline hydrochloride and dexamethasone and gentamicin can prove the symptoms of acute laryngitis in children promptly and shorten the course. But it is no significance when using whole crouse. 【Key words】　Acute laryngitis in children Laryngeal obstruction Adrenaline hydrochloride Dexamethasone Gentamicin Nebulization 急性喉炎是小儿急性呼吸道感染性疾病之一,起病急,病情变化快,若不及时正确治疗,可出现呼吸道梗阻症状,甚至危及生命。目前对于重度喉梗阻的急救处理主要是气管切开和气管插管，这些都有一定的并发症。我科多年来采用盐酸肾上腺素/庆大霉素/地塞米松三联液超声雾化在早期缓