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作者报告一例二岁半的男孩,因患原因不明的声门下狭窄而入院,主要表现为咳嗽,喘鸣和轻微呼吸困难;直接喉镜和支气管镜检查发现声带下1厘米声门下狭窄,予以分离,呼吸困难在气管插管后缓解,给予扩张术,经治后一度支气管镜复查狭窄消失。但七周后又有声门下狭窄征状出现,在狭窄处注入氟羟强的松龙(triamcinolone)12.5毫克继续扩张,气管内插管,术后合并吸入性肺炎,经治后情况良好。出院后4个月又有严重的气道狭窄征状出现,作了气管切开,每隔3—4周在狭窄处注入氟羟强的松龙并进
The authors report a two-and-a-half-year-old boy hospitalized for unknown underlying subglottic stenosis with coughing, wheezing and mild dyspnea. Direct laryngoscopy and bronchoscopy revealed 1 cm subglottic stenosis in the vocal cords and were isolated , Dyspnea ease after endotracheal intubation, to give dilatation, bronchoscopy after treatment of stricture disappeared. However, there were subacute subacute stenosis after seven weeks. In the stenosis, 12.5 mg of triamcinolone was continued to expand. Endotracheal intubation and postoperative aspiration pneumonia were performed well. 4 months after discharge there are serious signs of airway stenosis, tracheotomy, every 3-4 weeks in the narrow place injection of prednisolone