Infantile laryngospasm?
summary
Laryngeal wheezing at birth or within a few weeks after birth is caused by the airflow passing through the narrow airway during breathing, which can be caused by a variety of causes. It usually occurs in winter and spring. It is most common in infancy, especially in newborns and infants. Severe cases may cause dyspnea or even respiratory failure. Infantile laryngospasm? Let's talk about it.
Infantile laryngospasm?
Dyspnea often occurs suddenly at night. When breathing in, the throat sounds. The sick child wakes up, hands and feet move disorderly, his head sweats cold, his face is cyanotic, and he seems to suffocate. But every time I take a deep breath when it is most difficult to breathe, the symptoms suddenly disappear and the sick child falls asleep again.
The occurrence time is short, only a few seconds to 1-2 minutes. Frequent cases can occur several times a night, but also have a relapse after the attack, the sick children wake up the next morning often as usual. If laryngoscopic examination, no abnormal visible.
For severe laryngeal edema, dexamethasone and 10% calcium gluconate were used to eliminate the edema; Individual children can use antispasmodic and antiasthmatic drugs. Tracheotomy may be performed in patients with occasional severe laryngeal obstruction. For nervous laryngeal wheezing, scopolamine can be used, starting from a small dose, 0.02mg/kg intravenous drip each time, once a day. If it is invalid, the dosage can be gradually increased to 0.04-0.06-0.08mg / (kg · d) each time until the symptoms of laryngeal wheezing disappear.
matters needing attention
1. It is best not to give children under five years old to eat melon seeds, peanuts, beans and other food. Eat to avoid laughing, crying and beating children. 2. Educate children not to put small toys in import. 3. When taking medicine for children, don't squeeze the nose to give medicine. 4. Adults should get rid of the habit of biting needles and nails in their mouths. 5. Pay attention to children's nutrition and mental state. For the weak and underdeveloped, give calcium tablets and vitamin D, and get more sunshine. When the attack occurs, you should untie your underwear, wipe your face with cold water, and give oxygen when possible.