血管瘤是婴幼儿头颈部最常见的肿瘤,而婴儿声门下血管瘤少见。声门下血管瘤多数在出生后6个月内出现症状,气道阻塞,威胁生命。处理方法包括:(1)气管切开术和等候自行退化;(2)放射治疗;(3)放射性金粒埋植;(4)硬化剂注射;(5)全身性皮质类固醇治疗;(6)手术切除;(7)冷冻手术;(8)二氧化碳激光。诸法各有其缺点:等侯自行退化涉及婴儿长期气管切开术戴管问题;放疗有继发恶变的危险性;长期激素治疗增加感染易感性,且可能抑制生长;手术切除、硬化剂、冷冻手术和二氧化碳激光均可能产生声门下区狭窄。本文报告1972年～1985年间美国巴尔的摩的Johns Hopkins医院收治的声门下血管瘤10例。均在全麻下行内窥镜和经喉显微手术确诊,治疗后均随访17个月以上。并复习1913年至 Hemangioma is the most common tumor in the infant’s head and neck, and infantile supraglottic hemangioma is rare. Most subglottic hemangiomas develop symptoms within 6 months of life, obstructing the airways and threatening life. Treatment methods include: (1) tracheotomy and waiting for self-degeneration; (2) radiation therapy; (3) implantation of radioactive gold particles; (4) sclerotherapy; (5) systemic corticosteroid therapy; (6) Surgical resection; (7) cryosurgery; (8) CO2 laser. Each method has its own shortcomings: waiting for self-degeneration involves long-term tracheotomy in infants wearing tube problems; radiotherapy has the risk of secondary malignant transformation; long-term hormone therapy increases infection susceptibility, and may inhibit growth; surgical resection, hardener, Both cryosurgery and CO2 lasers may produce subglottic stenosis. This report reports 10 subglottic hemangiomas treated at the Johns Hopkins Hospital in Baltimore, USA from 1972 to 1985. All patients underwent endoscopic and laryngeal microsurgery under general anesthesia and were followed up for more than 17 months after treatment. And review it in 1913