What are the routine examinations for acute laryngitis in children? In order to confirm the nature of the disease, examination is an indispensable link. Acute laryngitis in children is a disease that often occurs in children under 5 years old, seriously affecting their physical health. Severe cases can endanger the lives of children. Let's take a look at the routine examinations for acute laryngitis in children. Acute laryngitis in children generally requires direct laryngoscopy. The laryngeal mucosa is diffusely congested, the laryngeal ventricular zone is swollen and even covers the vocal cords, the vocal cords are obviously congested, the glottis is attached with mucopurulent secretions, and the subglottic mucosa is swollen and protrudes to the middle to form a narrow crack. This disease is an acute inflammation of the laryngeal mucosa mainly in the glottis area, which often occurs in winter and spring, especially in infants and young children. Because children's laryngeal cavity is small and the mucosa in the larynx is loose, swelling can easily lead to glottal obstruction. Children have poor cough reflexes and tracheal and laryngeal secretions are difficult to discharge, which can easily cause severe laryngeal obstruction. If not treated promptly and effectively, the condition can worsen, endangering the health and even life of the child. Acute laryngitis in children often develops rapidly, and most patients have fever, often accompanied by cough and hoarseness. When inflammation invades the subglottic area, a croup-like cough occurs, and symptoms often worsen at night. In severe cases, symptoms such as inspiratory hoarseness and dyspnea may occur, and the suprasternal fossa, supraclavicular fossa, intercostal space and upper abdominal soft tissue may sink during inspiration (clinically known as the three-depression sign), irritability, flaring of the nasal wings, cold sweats, and a rapid pulse may occur. During the physical examination, the throat is congested, the false vocal cords are swollen, and the subglottic mucosa is swollen in a fusiform shape. Depending on the severity of the disease, there may be laryngeal striae and inspiratory dyspnea. Laryngeal conduction sounds or tubular breath sounds may be heard during auscultation of the lungs. Acute laryngitis in children often starts suddenly and progresses rapidly. If it is not diagnosed and treated promptly and effectively, serious complications and sequelae may occur. Therefore, if you are sick, you should go to the hospital as soon as possible. |
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