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題名 | 嬰幼兒之單側聲帶麻痺--初步報告=Unilateral Vocal Cord Paralysis in Infants--A Preliminary Report |
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作者 | 李振川; 李國森; 楊政謙; 徐銘燦; Lee, Jehn-chuan; Lee, Kuo-sheng; Yang, Cheng-chien; Shu, Min-tsan; |
期刊 | 中華民國耳鼻喉科醫學會雜誌 |
出版日期 | 19970400 |
卷期 | 32:2 1997.04[民86.04] |
頁次 | 頁40-44 |
分類號 | 417.688 |
語文 | chi |
關鍵詞 | 單側聲帶麻痺; 嬰幼兒; Unilateral vocal cord paralysis; Infant; |
中文摘要 | 聲帶麻痺是引起嬰幼兒呼吸道異常之第二常見原因,僅次於軟喉症。一般相信單 側麻痺較雙側麻痺為多,且兩者應視為不同之疾病種類。 本報告單側麻痺以左側較多, 佔 79%。 臨床主訴症狀以微弱哭聲或聲嘶最多,佔 57%,其次為餵食困難,哽嗆等。分析病因 以開放性動脈導管 (PDA) 術後麻痺最多,其次與先天性心臟病有關。追蹤 2 年以上,其自 然恢復率為 57%。本報告支持採取保守治療,主張臨床觀察至少 2 午以上。 |
英文摘要 | After laryngomalacia, vocal cord paralysis is the second most common laryngeal anomaly in infants. Unilateral vocal cord paralysis is seen more commonly than bilateral ones are. Of the 14 patients with unilateral vocal paralysi, 79% (11 case) are left-sided. Weak crying was the most common presenting sympton, seen in 57% (8 cases). Other symptoms were feeding problems and choking, etc. The main etiologies were iatrogenic injury during the surgery of patent ductus arteriosus and complications of congenital heart disease. After 2-year follow-up, 57% (8/14) of the patients recovered. We suggest that the mainstay of treatments in the unilateral cord paralysis of infants are conservative management and observation for at least 2 years. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。