新生儿先天性喉囊肿2例并文献复习

Congenital Laryngeal Cyst of Newborn: 2 Cases Report and Literature Review

先天性喉囊肿是导致新生儿气道阻塞的原因之一,发病率为1.82/10万～3.49/10万,其中50%是在窒息死亡患儿的尸检中发现的。对本病认识不足可导致病情延误,甚至导致新生儿死亡。报告中国人民武装警察部队特色医学中心分娩的2例新生儿先天性喉囊肿病例。新生儿出生后发生原因不明的窒息、低Apgar评分且复苏效果欠佳时,除外产科因素的同时,还应考虑先天性喉囊肿致新生儿呼吸道阻塞的可能,建议行喉镜检查,紧急情况下可采取囊肿穿刺抽液以在最短时间内缩小囊肿体积,缓解呼吸困难的危重情况,为下一步治疗赢得时机。

Congenital laryngeal cyst is one of the causes of neonatal airway obstruction. The incidence of congenital laryngeal cyst ranges from 1.82/100,000 to 3.49/100,000, 50% of which were found in autopsy of asphyxiated children. Lack of awareness of the disease can lead to delays in the condition and even death of newborns. This paper reports 2 cases of congenital laryngeal cyst of newborn delivered by the Characteristic Medical Center of The Chinese People′s Armed Police Force. When newborns suffer from asphyxia of unknown cause, have low Apgar score and poor resuscitation effect after birth, besides obstetric factors, congenital laryngeal cyst to neonatal respiratory obstruction should also be considered. Laryngoscopy is recommended. Cyst puncture and drainage can be used in emergency to reduce the cyst volume in the shortest time and alleviate the critical situation of dyspnea. One step therapy wins the opportunity.