Pediatric laryngeal edema is generally more common in winter and spring, and can be directly or indirectly infected by some bacteria, viruses, and microorganisms, and can also be seen in some upper respiratory tract infections spreading and causing laryngeal edema. It usually occurs at night, which can cause children to speak hoarsely, sputum in the larynx, and breathing obstruction. Severe obstruction of the airway can cause dyspnea, purple lips, and irritability. Parents should pay attention to it and go to the hospital for treatment in time.
Laryngeal edema is a clinical symptom characterized by submucosal fluid infiltration in the larynx. There are many causes of pediatric laryngeal edema, but there are basically two categories: one is infectious laryngeal edema, such as bacterial infection or viral infection, acute laryngitis, bronchitis, etc. Are all this condition; the other is non-infectious, such as heart disease, allergies, etc. is non-infectious laryngeal edema.
Children with acute laryngitis, coughing sounds similar to dog barking, children are short of breath, nasal wings fluttering, accompanied by irritability, pale face, lips bruised and other hypoxic manifestations, and even when inhaling, the upper and lower sternum, the upper and lower collarbones and the lower intercostal spaces are concave.
Acute laryngitis is a severe illness that must be treated in the hospital and should be treated with an emergency department.
Once a child has acute laryngitis, it is very easy to have difficulty breathing. The only option is to send it to the hospital in time for treatment, and there is absolutely no delay. If parents find that the child has difficulty breathing, at this time should pay special attention to the child's breathing situation, if there is inspiratory breathing difficulties, at this time should take into account the phenomenon that the child has laryngeal edema, should go to the hospital in time for treatment, so as to avoid accidents.
In particular, it is important to remember that cough suppressants cannot be taken casually, and some cough suppressants (such as antitussive drugs containing morphine) can cause difficulty in excretion, thereby aggravating respiratory tract obstruction, further causing the possibility of suffocation, and delaying the opportunity for rescue.
How acute laryngitis in children is caused
1, weather reasons: many adults will catch a cold when changing seasons, not to mention children. Often in the change of seasons, colds, if not careful, it will develop into laryngitis, the situation of children to come faster than adults, but also more serious than adults. Because the child's physique is special, and can not be interfered with too much, so when the child has a cold, go to the hospital in time to check, so as not to ferment into laryngitis, torture the child.
2, children do not understand cough: the reason why children have a cold will develop into laryngitis, there is a reason is that children do not know how to cough. Because the trachea of children is very small, coupled with their soft laryngeal cartilage, weak support ability, often will not cough to discharge secretions in the throat and trachea, which will also lead to the child's situation will be much more serious.
3. The child's laryngeal nerve is sensitive: after the child suffers from laryngitis, it is actually inflammation, and the swelling will be very obvious. The reason is that the child is too small, and the anti-viral ability of each organ is relatively weak, so it will be very serious.
Because, most of the acute laryngitis in children is caused by colds, the acute diffuse inflammation of the mucous membrane of the larynx and vocal cords is usually manifested by mucosal congestion and edema. Its clinical symptoms are more pronounced, with a barking cough, inhaling throat and hoarseness, which is the most dangerous time.
Therefore, within 1-3 days after the child's cold, you must be vigilant, especially when the child's throat appears "howling" sound, this is basically laryngitis, quickly lead the child to the hospital. Because the disease progresses quite quickly, it is easy to cause laryngeal edema and even laryngeal obstruction, endangering the child's life.
And because it takes time to determine whether the cause is caused by viruses or bacteria, doctors will generally give systemic antibiotic treatment first, which can promote the swelling of laryngeal tissue and alleviate the symptoms of laryngeal obstruction. In addition, to reduce laryngeal edema and relieve laryngeal obstruction, doctors may also use hormone therapy. If the condition is severe, tracheostomy is required. If other symptoms, such as fever, are accompanied by other symptoms, symptomatic therapy is also required.
Therefore, in the occurrence of acute laryngitis, parents should actively cooperate with the doctor's treatment, do not delay because of the use of antibiotics and hormones, try to let the child rest quietly, reduce crying, so as not to aggravate the difficulty of breathing. In addition, the disease is generally more serious when sleeping at night. Therefore, parents must get mental points on the first 3 nights of the onset of the disease.
Prevention First of all, to ensure that the baby has sufficient sleep, proper exercise, enhance resistance; secondly, diet as light as possible, eat more fruits and vegetables, avoid spicy and irritating diet, drink more water, keep the mouth moist; finally, to open the window regular ventilation, avoid cold and high temperature stimulation, avoid contact with dust, irritating gases and other factors that stimulate the throat mucosa.
In the winter and when the weather turns cold, if the child has difficulty breathing, he should go to the pediatric department in time, and if the child has repeated attacks of laryngitis, it is necessary to rule out allergic factors and the possibility of pediatric asthma.