How to judge acute laryngitis in children, how should parents distinguish that children are acute la

Pre-onset: Some children do not have any aura symptoms. Some of them become ill in the middle of the night and start with bouts of coughing. or inspiratory laryngeal ringing and inspiratory dyspnea after activity, with clear breath sounds and a normal heart rate on auscultation.

Early onset: mild cold symptoms, which may be not accompanied by fever or only mild fever. When quiet, laryngeal sound and inspiratory dyspnea appear, with a "clacking" coughing sound, snoring in the throat, and no phlegm can be coughed up.

Middle stage of the disease: in addition to the initial symptoms of the disease, there are paroxysmal irritability, cyanosis of the lips and nails, blue or pale perioral erythema, decreased or inaudible breath sounds in both lungs on auscultation, dull heart sounds, and a heart rate of 140 160 beats.

Aggravation period: Generally, the condition is mild during the day and worsens at night, and laryngeal edema often occurs at night due to the rapid development of laryngeal inflammation, resulting in acute laryngeal obstruction. Children may wake up with dyspnea, a hoarse voice, agitated nasal wings during breathing, and a "retraction sign" during inspiration, i.e., supraclavicular fossa, suprasternal fossa, and epigastric depression.

Pale complexion, blue lips, accompanied by high fever, irritability, sweating, etc.

If the condition is further aggravated, it will change from irritability to semi-coma or coma, showing temporary quiet, paleness, incontinence, suffocation, coma and other symptoms, and may even lead to the death of the child due to suffocation.

Pediatric acute laryngitis refers to acute diffuse inflammation of the laryngeal mucosa, which occurs frequently in winter and spring. Diagnosis is based on clinical findings. Acute laryngitis in children has a rapid onset, severe symptoms, fever, barking cough, hoarseness, inspiratory laryngeal sound and retraction signs, and in severe cases, systemic symptoms such as cyanosis, irritability, paleness, and increased heart rate may occur.

Acute laryngitis can be diagnosed by laryngeal examination showing obvious pharyngeal congestion, indirect laryngoscopy showing laryngeal mucosa, vocal cords with varying degrees of congestion and edema. Generally speaking, the symptoms are mild during the day, and the symptoms worsen after falling asleep at night, and if the laryngeal obstruction is not rescued in time, it can suffocate to death. Therefore, when children have barking cough, hoarseness and inspiratory laryngeal sounds, they need to pay close attention to seek medical attention immediately.

The following aspects can be used to determine whether a child has pediatric acute laryngitis. First, the child has an upper respiratory tract infection.

or a history of acute infectious diseases. Second, the onset is particularly acute, especially if it suddenly worsens at night. Thirdly, the main symptoms are hoarseness, which worsens as the disease progresses, and the appearance of barking cough, inspiratory laryngeal sound, and inspiratory dyspnea.

Once parents find that their child suddenly appears at night, it is recommended to take the child to the ENT department of the hospital, or the pediatric or emergency department immediately** to prevent laryngeal obstruction and endanger the child's life.

It can be judged by the child's reaction that if the child feels particularly painful when eating and swallowing, and his voice is hoarse when speaking, it may be acute laryngitis.

This condition is accompanied by coughing, hoarseness, and difficulty breathing, either in winter or spring.

1. Barking coughGenerally speaking, acute laryngitis has hoarseness and dry cough at the onset, and the cough makes a "empty-empty-empty" sound, like a dog barking, and then due to the development of edema in the subglottic area, there is poor inhalation accompanied by laryngeal sounds, and the condition gradually worsens and significant inhalation dyspnea can occur.

2. Aggravation of the condition at nightIn the early stage of acute laryngitis in children, children often do not cough much during the day and are in good spirits, but the cough worsens at night, especially in the second half of the night or when crying, so it is easy to be ignored. Parents need to be vigilant about this. This is because the laryngeal muscles are loose when the baby sleeps, and secretions tend to block the larynx.

3. Fever and refusal to eatSeveral babies with acute laryngitis may also have varying degrees of fever, but high fever is rare, and most of them are mild to moderate fever. Due to laryngeal obstruction and hypoxia, children often suffer from irritability, refusal to eat and drink, and may even see bruising, recess, congestion and swelling of the pharyngeal mucosa, especially at night.