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摘要


目前軟喉症的診斷是以喉部的動態變化較為重要。錄影式喉纖維內視鏡檢,可以觀察到這些動態變化,作正確的診斷。本科自1992年6月1995年7月期間,收集103名軟喉症病人,並依照其錄影所得之呼吸道塌陷方向區分為:A型:楔形軟骨長度過冗,或鬆軟的杓狀軟骨黏膜會向喉部脫垂吸入 ; B型:會厭過長,且呈管形,及氣時,會厭向內捲縮 ; C型:吸氣時,鬆軟的會厭向後位移,向後咽壁或聲帶脫垂吸入。至1996年8月底止,症狀消失的平均年齡為12.2個月大,其中A型為14.1個月大,B型6.5個月大,C型8.2個月大。(中耳醫誌1997;32:412-417)

關鍵字

軟喉症 喘鳴

並列摘要


Laryngomalacia is a disease diagnosed by abnormal dynamic changese in the supraglottic structure. Videofibrolaryngoscopy affords a continuous observation of these dynamic changes and it is a valuable tool for making a precise diagnosis. We experienced 103 cases of laryngomalacia in our hospital between June 1992 and July 1995. The abnormal dynamic changes in the larynx could be divided into 3 types as follows. Type A: the cuneiform cartilages are redundant and prolapse during inspiration; type B: the long, tubular epiglottis curls back upon itself during inspiration; type C: posterior inspiratory displacement of the epiglottis against the posterior pharyngeal wall or vocal folds. In this series, the mean age for recovery in infants was 12.2 months. The mean ages for recovery in types A,B,C were 14.1 months, 6.4 months and 8.2 months, respectively.

並列關鍵字

laryngomalacia stridor

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