小儿喉痉挛（Laryngeal spasm in children）.doc

小儿喉痉挛（Laryngeal spasm in children） In children anesthesia, laryngeal spasm or bronchospasm is still more common in clinic. Laryngeal spasm is due to throat stimulation, so that the neck and throat muscles strong contraction, so that the glottis closed due to. The clinical manifestations of laryngeal spasm in children are not the same as those in adults. Adults can see severe three depressions. Children, especially infants, exhibit no breathing movements, while the mask is under pressure and the thorax is free of fluctuation. The traditional treatment is intravenous succinylcholine immediately. However, intravenous propofol is as effective and usually does not require tracheal intubation again. Because the re intubation will inevitably dial again, and the re dial may lead to laryngeal spasm and laryngeal edema. Children with nervous, irritable and stimulate the laryngeal spasm, if preoperative children with colds or upper respiratory tract infection, throat throat stimulation received particularly prone to laryngeal spasm, so we must pay special attention to preoperative respiratory conditions. In children with pure upper respiratory tract infection within 2-4 weeks, the stress of respiratory tract is higher. Whether children undergoing surgery need after 2-4 weeks should be postponed to consider the severity of children flu and flu happened frequently and the degree of surgical disease. If the sense of involvement and bronchial secretion (cough and phlegm) or push the best pediatric temperature at 38 DEG C after surgery. For children who suffer from colds, they can only avoid the fever and pneumonia period and choose the relatively safe time to perform the operation. It is also necessary to measure whether surgical disease in children is exacerbated and delayed by surgical delays. Sometimes only the danger to the family clearly, to see the attitude of the family decided. Once the decision is flu pediatric anesthesia, the anesthesia principle is less interference on