It is a common phenomenon for children to have laryngitis, especially those with obviously low immunity. Children with laryngitis will have obvious coughs and may also have spasms in the throat, which may cause laryngeal obstruction. Severe laryngeal obstruction will affect the child's breathing and inhalation, and may even be life-threatening. Therefore, it needs to be taken seriously and laryngitis needs to be actively treated. First, treatment The main thing is to actively control the infection and add corticosteroids to quickly reduce laryngeal edema and keep the airway open. At the same time, keep the child quiet, avoid crying and making a fuss, allow the vocal cords to rest, and reduce oxygen consumption. In winter and spring, infants who suddenly become hoarse, cough frequently, and have difficulty breathing at night are often seen in pediatric emergency rooms or ENT emergency rooms. These children generally suffer from acute laryngitis caused by acute upper respiratory tract infection. Therefore, children's laryngitis should be treated promptly, and parents should be alert to children's long-term cough, cold and fever symptoms. Treatment of laryngitis in children should focus on: 1. Get enough rest and drink plenty of water. 2. Pay attention to your condition and go to the hospital immediately if you experience high fever, ear pain, worsening cough, difficulty breathing, drowsiness, etc. 3. Reduce fever. If the body temperature exceeds 38 degrees, use physical methods to reduce it in time, such as wiping the forehead with a warm, wet towel. If the body temperature exceeds 38.5 degrees, you can take antipyretics appropriately. 4. Don’t abuse antibiotics. If there are no complications such as otitis media or pneumonia, antibiotics are not recommended. 6. Traditional Chinese medicines such as Isatis root and Ginseng root; antiviral drugs in Western medicine, such as ribavirin. Second, prevention Because laryngitis in children develops rapidly, is severe, and can be life-threatening, preventive measures must be taken. Prevention should start with strengthening children's physical fitness. Families can take the following steps: 1. Insist on outdoor activities to improve your physical fitness. 2. Avoid going to public places during the cold season. 3. Pay attention to weather changes and add or remove clothes in time. 4. Drug prevention. Third, characteristics ① It is more common in young children, with the highest incidence in infants under 1 year old. The onset time is concentrated between December of the previous year and February of the next year. The vast majority of children have symptoms of upper respiratory tract infection. ② Acute laryngitis occurs when there is hoarseness and dry cough. The cough makes a "kong-kong-kong" sound, like a dog barking. Subsequently, due to the development of edema in the subglottic area, inhalation becomes difficult and accompanied by laryngeal sounds. As the condition gradually worsens, significant inhalation dyspnea may occur. ③ Most children may have fever to varying degrees, but high fever is rare and most have mild to moderate fever. Due to laryngeal obstruction and hypoxia, children are often irritable and refuse to eat. Physical examination may reveal cyanosis of the complexion and three depressions (i.e., significant depressions in the supraclavicular fossa, suprasternal fossa and upper abdomen during inhalation), which are particularly severe at night. ④ Direct laryngeal examination reveals congestion and swelling of the laryngeal mucosa. |
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