Fifteen-minute consultation: investigation and management of an infant with stridor

Fifteen-minute consultation: investigation and management of an infant with stridor
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DOI:
10.1136/archdischild-2016-311286
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发表时间:
2017-06-01
影响因子:
1
通讯作者:
Grainger, J.
Grainger, J.
中科院分区:
医学4区
文献类型:
--
作者:
Hoskison, E.;Grainger, J.

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喘鸣声是一种由气流通过呼吸道时产生的异常声音。3个月以下的婴儿出现喘鸣,有许多不同的潜在病因。一些关键的评估点有助于区分那些可以放心和监测的患者和那些需要转诊到耳鼻喉(ENT)外科医生进行进一步评估或处理的患者。我们提出了一种结构化的方法来指导临床医生通过初步的评估,检查和管理,包括转诊到耳鼻喉科手术。
Stridor is an abnormal sound caused by turbulent airflow through the airway. In an infant under 3 months of age presenting with stridor, there are many different underlying aetiologies. Some key assessment points help to differentiate those patients who can be reassured and monitored versus those requiring referral to an ear, nose and throat (ENT) surgeon for further assessment or management. We present a structured approach to guide the clinician through initial assessment, examination and management, including referral to ENT surgery.