喘鸣是发生于很多临床情况中的一种体征。其中有些极为常见,如喉-气管-支气管炎、声门上炎、腺样体炎及各种并发症、呼吸道或食道异物等。而有些则较为罕见,如先天性喉畸形、血管畸形、囊肿或肿瘤。喘鸣较易识别,根据其出现的呼吸相、音调可大致判断病变部位,但确切的病损部位及性质则需仔细研究。作者详细讨沦了各种器质性改变出现的喘鸣及处理原则,指出保持呼吸道通畅是首要原则,至于究竟采用经鼻插管、气管内插管或气管切开则应视具体情况而定。为了明确诊断、找出病变部 Wheezing is a sign that occurs in many clinical situations. Some of these are extremely common, such as larynx - trachea - bronchitis, supraglotticitis, adenoid inflammation and various complications, respiratory or esophageal foreign body and so on. While others are more rare, such as congenital laryngeal deformity, vascular malformations, cysts or tumors. Wheezing easier to identify, according to the appearance of the respiratory phase, the pitch can be roughly determine the lesion, but the exact lesion and nature of the need careful study. The author discusses in detail the various wheezing and handling of organic changes occur, pointed out that the main principle to maintain airway patency, as to whether the use of nasal intubation, endotracheal intubation or tracheostomy should be, as the case may be . In order to confirm the diagnosis, find the lesion