摘要
目的探讨成人特发性喉痉挛临床诊断及治疗方法。方法分析郑州大学第一附属医院鼻咽喉头颈外科自2009年2月至2011年2月病房及门诊收治的30例成人特发性喉痉挛患者的临床资料。全部患者应用地塞米松针静脉点滴,用醋酸泼尼松龙针与利多卡因针混合行双侧喉上神经封闭,选择性应用抗生素及止咳药物、抗胃酸反流药物。结果治疗2周后,22例未再发作喉痉挛。喉痉挛发作频率明显减少者7例,无明显效果者1例。结论喉痉挛诊断主要依据临床表现及喉镜检查。采用针对性诱因治疗及双侧喉上神经封闭治疗成人特发性喉痉挛是有效的。
Objective To discuss the diagnosis and treatment of idiopathic laryngospasm in adult.Methods A retrospective analysis was performed on 30 patients of idiopathic laryngospasm in adult from February 2009 to February 2011,based on a careful review on their clinical data.All patients with intravenous dexamethasone needle,prednisolone acetate needle and lidocaine needle mixture of bilateral superior laryngeal nerve closed,the application of selective antibiotic and cough medicines,resistant to acid reflux drugs.Results After 2 weeks treatment,22 cases did not attack again laryngeal spasm.Laryngeal spasm seizure frequency reduced obviously in 7 cases,no obvious effect in 1 cases.Conclusions Strategie on the diagnosis of idiopathic laryngospasm in adult is rely on clinical manifestations and laryngoscopy.Use targeted treatment of predisposing factors and bilateral superior laryngeal nerve block in the treatment of adult idiopathic laryngeal spasm is effective.
出处
《医药论坛杂志》
2011年第21期77-78,81,共3页
Journal of Medical Forum
关键词
喉痉挛
诊断
治疗
特发
Iaryngospasm
Diagnosis
Therapy
Idiopathic
