ISSN 1673-3770 CN 37-1437/R
山东大学耳鼻喉眼学报 ›› 2024, Vol. 38 ›› Issue (5): 136-144.doi: 10.6040/j.issn.1673-3770.0.2023.163
• 综述 • 上一篇
王振晓,时光刚,何明强,时蕾
WANG Zhenxiao, SHI Guanggang, HE Mingqiang, SHI Lei
摘要： 哮吼又称喉气管炎,是一种呼吸系统疾病,以吸气时喘鸣、类似犬吠的咳嗽和声音嘶哑为特征,属喉及声门下气道炎症,多发于6个月至3岁儿童。主要由副流感病毒引起,在病毒感染相关儿童患者群体中越来越多见。虽然哮吼绝大多数为轻度自限性疾病,但中重度或症状快速进展的患儿可能发生严重的上呼吸道梗阻和呼吸窘迫,因此必须及时全面评估,识别哮吼患儿症状的严重程度,及时治疗。论文提供了针对哮吼的治疗和管理的研究进展和up to date临床循证要点内容。药物治疗以减少气道水肿为主,而支持性治疗则以提供呼吸支持和维持水电解质平衡为主。其中糖皮质类固醇和雾化肾上腺素是治疗的基石。以期为国内儿童和成人急性喉支气管炎治疗提供参考。
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