Diagnosis and treatment of congenital laryngeal stridor

  How to treat neonatal laryngeal wheeze, many people do not know much about such diseases, so when the newborn in the appearance of abnormalities, parents also need to be sent to the hospital for timely examination, so that all aspects of the newborn’s body is guaranteed, that the treatment of such diseases, there are many aspects, according to the newborn’s condition, choose the appropriate treatment for it, so as to facilitate the improvement of the disease.  How to treat neonatal laryngeal wheezing is described in detail below, but in the process of treatment, parents also need to pay attention to the changes in the newborn, and his care, but also need to be very comprehensive, so as to facilitate the treatment of his disease.  How to treat neonatal laryngeal wheeze: 1, general treatment to strengthen care, prevention of colds, diarrhea and other triggering factors, more sunshine, to prevent complications. Congenital simple laryngeal wheezing generally does not require special treatment, but only needs to strengthen care, pay attention to the prevention of respiratory tract infection, to 18 to 24 months after the laryngeal cavity increases, laryngeal tissue gradually becomes normal, laryngeal wheezing will gradually disappear. Parents are advised to pay attention to the prevention of cold and shock to avoid respiratory tract infection and laryngospasm, which may aggravate laryngeal obstruction. Pay attention to the maintenance of water, electrolytes and acid-base balance. At the same time, give adequate amount of calcium and add supplementary food in time. If the attack is heavy and inspiration is difficult, adjust the infant’s position and take the side position to reduce the symptoms and treat the symptoms.  In severe cases of laryngeal edema, dexamethasone or budesonide suspension and 10% calcium gluconate can be used to eliminate edema; individual children can use antispasmodic and asthma drugs. Occasionally, tracheotomy can be performed for severe laryngeal obstruction.  3, neurological laryngeal wheezing for neurological laryngeal wheezing can be tried scopolamine, the dose starts from a small dose, 0.02mg/kg intravenous drip each time, 1 time / d, if not effective, can gradually increase the amount to 0.04 ~ 0.06 ~ 0.08mg/(kg・d) each time, with until the laryngeal wheezing symptoms disappear.  4, there are respiratory tract infection when there is pneumonia, give antibiotic treatment, complications of respiratory failure children can use mechanical ventilation; lung auscultation with sputum sound, give ultrasonic nebulization suction and frequent back pat, good respiratory care, etc.  5.Laryngospasm to laryngeal wheezing seen in infantile tachycardia is treated with calcium and vitamin D.  6.Surgical treatment of congenital laryngeal and tracheal developmental abnormalities, large blood vessel abnormalities and congenital laryngeal cysts and tumors that cause respiratory distress must be treated with early surgery. The treatment of subglottic stenosis should be based on the degree of obstruction. In mild cases, no special treatment is needed, and the symptoms will disappear naturally when the laryngeal cavity increases, while in severe cases, tracheotomy is required.  Through the above introduction, the treatment of neonatal laryngeal wheezing is also a good understanding of how to choose any treatment method, are to cooperate with the doctor’s treatment, while the process of treatment, are also to follow the doctor’s requirements, so that the improvement of the disease will help, and will not endanger the life of the newborn.