Acute laryngitis in small children is often secondary to acute rhinitis, pharyngitis, most of them are caused by viruses, and can be secondary to bacterial infections, and most of them are relieved by general treatment and medication, and surgery is needed when necessary. Pediatric acute laryngitis has a more acute onset, with fever, hoarseness, cough and so on. Early to laryngospasm, hoarseness is not serious, manifested as paroxysmal barking cough or dyspnea, followed by mucous sputum coughing out. In severe cases, cyanosis or irritability. If not treated in time, further development, respiratory and circulatory failure, coma, convulsions, and even death. The focus of treatment is to relieve laryngeal obstruction, and effective and sufficient antibiotics such as ceftriaxone and ceftazidime should be used early to control the infection. When there are symptoms of laryngeal obstruction, budesonide suspension can be used for nebulized inhalation, which can promote the swelling of the laryngeal tissue and reduce the symptoms of laryngeal obstruction. Severe laryngeal obstruction or laryngeal obstruction symptoms are not relieved after drug treatment, tracheotomy should be done in time. Try to make the child rest quietly, reduce crying, so as not to aggravate respiratory distress. Pay attention to intravenous rehydration to ensure that the child’s systemic nutrition and electrolyte balance. All of the above drugs should be used under the guidance of the doctor, avoid self-medication. When your child develops acute laryngitis, it is recommended to consult a doctor for evaluation and management by a specialist.