Artikel
Pediatrics Stridor
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Veröffentlicht: | 22. April 2010 |
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Gliederung
Text
Introduction: Stridor is not a diagnosis but a symptom produced by turbulent airflow related to partial airway obstruction. The obstruction may be fixed or dynamic and there are many causes: congenital, traumatic, iatrogenic, inflammatory, and neoplastic.
Methods: We identified patients with sign of upper airway obstruction treated at Neonatal and Children’s Hospital of Gjakova city through a medical chart review. The medical charts of patients were reviewed for, presenting symptoms, initial pediatric diagnoses, past history, and treatment. Dg. Methods:
- History review and physical examination
- Radiography AP and laterale
- Nasolaringoskophy flexibile
- Direct laryngoscopy
- Rigid bronchoscopy
- Ultrasound
- CT.
Results: Snore: Hypertophy adenochoanalis 7, palaptochisis 2, atresio choanalis 1, transitory 5. Inspiratory Stridor: Intubation (tracheal inspiration) 4, prematury 2, transitory 1. Bifazik: Prematury (laringomlacia) 3.
Conclusion: Stridor is a symptom and not a diagnosis. History and physical are key in diagnosis. Airway endoscopy is an important adjunct. Proper management is possible only after a precise diagnosis has been established.
Supproted by: Occupational health institute of Kosova, Neonatal hospital of Gjakova, Pediatric hospital of Gjakova