How to treat laryngeal wheezing in children? 6 treatment methods

The larynx of children is relatively weak and is still in the growth stage. If the congenital laryngeal bones are not fully grown, or if there are acquired edema, muscle and nerve incoordination and other problems, it is very likely to induce laryngeal wheezing in children. When parents discover that their children have gurgling and wheezing sounds in their throats, they should seek medical attention immediately to avoid worsening of the condition and damage to the child's respiratory tract.

1. General treatment includes strengthening nursing care, preventing colds, diarrhea and other inducing factors, getting more sun exposure, and preventing complications. Congenital simple laryngeal stridor generally does not require special treatment, only intensive care and attention to prevention of respiratory tract infections. After 18 to 24 months, as the laryngeal cavity enlarges and the laryngeal tissue gradually returns to normal, the stridor will gradually disappear. Advise parents to prevent their children from catching cold and being frightened, so as to avoid respiratory tract infections and laryngeal spasms, which will aggravate laryngeal obstruction. Pay attention to maintaining water, electrolyte and acid-base balance. At the same time, give sufficient calcium supplements and add complementary foods and other auxiliary treatments in time. If the attack is severe and breathing is difficult, the baby's position can be adjusted to a side-lying position to alleviate the symptoms, and symptomatic treatment can be given.

2. For severe laryngeal edema, use dexamethasone and 10% calcium gluconate to eliminate edema; some children can use antispasmodic and antiasthmatic drugs. Occasionally, in cases of severe laryngeal obstruction, tracheotomy may be performed.

3. Neurogenic laryngeal stridor: Scopolamine can be tried for neurogenic laryngeal stridor. Start with a small dose, 0.02 mg/kg intravenous drip once a day. If it is ineffective, gradually increase the dose to 0.04-0.06-0.08 mg/(kg·d) each time until the symptoms of laryngeal stridor disappear.

4. If there is pneumonia during respiratory infection, antibiotic treatment should be given, and children with respiratory failure can use mechanical ventilation. If there is sputum when auscultating the lungs, ultrasonic nebulization suction of sputum should be given, and the back should be patted frequently, and respiratory care should be provided.

5. Hypocalcemic laryngeal stridor: Laryngeal spasm and laryngeal stridor seen in infantile tetany can be treated with calcium supplements and vitamin D.

6. Surgical treatment is required for patients with breathing difficulties caused by congenital abnormalities of the laryngeal and tracheal development, abnormalities of large blood vessels, congenital laryngeal cysts, tumors, etc., as soon as possible. The treatment of subglottic stenosis depends on the degree of obstruction. Mild cases do not require special treatment and the symptoms will disappear naturally after the laryngeal cavity is enlarged. Severe cases require tracheotomy.