Laryngospasm in children

Introduction to Pediatric Throat Pediatric throat is a laryngeal spasm disease, which is caused by children with insufficient congenital endowment, dysplasia, and poor nutrition. In addition, intestinal parasites, adenoid hypertrophy, digestive tract diseases, and fright can be caused. Often sudden dyspnea and inspiratory throat snoring at night, accompanied by hand and foot turmoil, cold sweat dripping, pale or bruising, cyanotic lips, seemingly suffocating, but the symptoms can disappear after deep breathing. The duration of the attack is short, but it can be repeated several times a night or it can be recurred after only one time. It is normal after waking up. No abnormalities under the laryngoscope. LS is different in severity and is used for laryngoscopy. Partial air can enter or even enter without gas. The examiner's hand or ear can be felt in and out of the gas above the patient's mouth. Generally, the following signs of airway obstruction are caused: trachealtugging, contradictory movement of the chest and abdomen. Later, there was a decrease in aerobic saturation, bradycardia, and central cyanosis. basic knowledge Sickness ratio: 0.0012% Susceptible people: children Mode of infection: non-infectious Complications: bradycardia pulmonary edema

Pediatric throat cause

Blood calcium is too low (50%):

Pediatric throat occurs mostly in children who are weak, malnourished, and underdeveloped, and may be associated with hypocalcemia.

Intestinal parasites (20%):

Frightened, intestinal parasites, constipation and adenoid hypertrophy can induce this disease. Frequently caused by children with insufficient congenital endowment, dysplasia, poor nutrition, other intestinal parasites, adenoid hypertrophy, digestive tract diseases, and fear can be caused. Often sudden dyspnea and inspiratory throat snoring at night, accompanied by hand and foot turmoil, cold sweat dripping, pale or bruising, cyanotic lips, seemingly suffocating, but the symptoms can disappear after deep breathing.

Pediatric throat prevention

1, it is best not to eat seeds, peanuts, beans and other food for children under the age of five. Eat to avoid laughing, crying and snoring.

2. Educate children not to put small toys in the import.

3, to take medicine for children, do not pinch the nose to fill the medicine.

4, adults should change the habit of biting needles, nails, etc. in the mouth when working.

5, pay attention to children's nutrition and mental state, for the weak, stunted, give calcium tablets and vitamin D, more sun, when the attack, should untie the underwear, rubbing the face with cold water, oxygen when conditions.

Pediatric throat complications Complications, bradycardia, pulmonary edema

The overall incidence rate was 0.87% in the population, 1.74% less than 9 years old, and 2.82% in January-March.

The consequences of the throat: cardiac arrest (cardiac arrest) accounted for 0.5%, post-operative negative pressure pulmonary edema (postobstructive negative pressure pulmonary edema) accounted for 4%, aspiration (pulmonary aspiration) accounted for 3%, bradycardia (bradycardia ) accounted for 6%, and oxygen saturation decreased by 61%.

Pediatric throat symptoms common symptoms purpura acute dyspnea frequent wake up throat tremble

Frequently, breathing difficulties occur at night, there is a throat sound when inhaling, the sick child wakes up, the hands and feet move, the head is cold sweat, and the face is purple, it seems to suffocate. But after a deep breath in the most difficult breathing, the symptoms suddenly disappeared and the sick child fell asleep. The occurrence time is short, only a few seconds to 1-2 minutes. Frequently, it can be repeated several times a night, and there is also a recurrence after a seizure. It is often normal for a sick child to wake up in the morning. For laryngoscopy, no abnormalities are visible.

Pediatric throat examination

LS is different in severity and is used for laryngoscopy. Partial air can enter or even enter without gas. The examiner's hand or ear can be felt in and out of the gas above the patient's mouth. Generally, the following signs of airway obstruction are caused: tracheal tugging, contradictory movement of the chest and abdomen. Late manifestations of decreased oxygen saturation, bradycardia, and central cyanosis.

Diagnosis and diagnosis of pediatric throat

diagnosis

Diagnosis based on cause, symptoms and related tests

Differential diagnosis

The throat should be differentiated from bronchospasm (BS) and supraglottic obstruction (SO).

Both SO and partial ventilation LS have inspiratory stridor and concave intercostal space, and SPO2 can decrease sharply. At this time, the direct laryngoscopic examination can be used to check the vocal cords of the child during inhalation. Of course, in this case, direct laryngoscopy may not be suitable. Lifting the lower jaw or head back can partially improve the ventilation of patients with SO and LS (partial ventilation). If invalid, consider a complete LS, then start the LS treatment step.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.