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双边声绑架功能障碍:两例新生儿病例的报告
Kenta Igami1,2, Yoshio Shima3, Sakae Kumasaka1
1Department of Pediatrics, Japanese Red Cross Tokyo Katsushika Perinatal Center.
概括
异常发声绑架功能障碍导致新生儿. 这种通过喉腔支气管检查诊断的病情,通常通过保守的治疗 (如双相正气道压力) 得到解决.
科学领域:
- 儿科 儿科 儿科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 新生儿科学 新生儿科学
背景情况:
- 新生儿的斯特里多通常是由喉发炎引起的,但声绑架功能障碍是另一个重要原因.
- 异常发声绑架功能障碍在新生儿具有启发性流的诊断挑战.
研究的目的:
- 在新生儿中呈现两例异常发声绑架功能障碍.
- 为突出这种情况的诊断和治疗方法.
主要方法:
- 两名新生儿的病例报告呈现出灵感性纹和色.
- 使用喉腔-支气管镜检查的诊断确认.
- 用双相正气道压力进行治疗.
主要成果:
- 两名被诊断患有异常发声绑架功能障碍的新生儿都在双相正气道压力下表现出改善.
- 症状在几个月内消失,通过重复内镜检查得到证实.
- 在这两种情况下都没有发现异形特征或心脏异常.
结论:
- 异常发声绑架功能障碍是新生儿启发性的关键差异诊断.
- 喉腔-支气管镜检查对于诊断至关重要,许多病例可能未被诊断出来.
- 保守的管理,包括双相正气道压力,可以是有效的,尽管严重的病例可能需要干预,如气管切除术.
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