小儿急性喉炎临床诊治与护理

急性感染性喉炎发病多见于婴幼儿,患儿的家长应早发现,尽早接受治疗,应用抗病毒、抗炎性药物、雾化、氢化可的松等糖皮质激素,尽量把炎症消灭在Ⅱ度梗阻以下,避免炎症进一步发展;护理人员密切观察体温变化,高热时给予物理降温,小儿患者应防止高热惊厥;给予静脉输液以补允体液,维持水、电解质平衡;适当使川镇静药,使患儿安静,避免哭闹,减少体能消耗。常用药物为庆大霉素和地塞米松,或在热水中加入薄荷、复入安息香副慢慢吸入。可给予喉片含化等局部治疗。嘱病人禁声或尽道少讲话,以使声带休息。注意用耳语讲话不能达到声带休息目的,可建议用笔和纸做笔谈。慢性喉炎病人,也应注意声份适当休息。严密观察呼吸、脉搏等生命休征变化,如有异常及时报告医生。总之,急性感染性喉炎发病多见于婴幼儿,患儿的家长应早发现,尽早接受治疗,应用抗病毒、抗炎性药物、雾化、氢化可的松等糖皮质激素,尽量把炎症消灭在Ⅱ度梗阻以下,避免炎症进一步发展;急性喉炎多继发于上呼吸道感染,发病急、病情重,易危及到生命,必须做好预防和护理工作。

Acute infectious laryngitis incidence in infants,children and parents should be early detection,early treatment,antiviral,antiinflammatory drug application,atomization,hydrocortisone,glucocorticoids,try to eliminate the inflammation degree obstruction following,avoiding inflammation further development;nursing staff close observation of temperature,high heat when given physical cooling,pediatric patients should prevent febrile convulsion;give intravenous infusion to supplement the Yun humoral,maintenance of water,electrolyte balance;appropriate make plain sedative drugs,so that children quiet,avoid crying,reduction of energy consumption.acute laryngitis and more secondary to upper respiratory tract infection,acute disease easy,severe illness,life-threatening,must do well in prevention and nursing.