哮喘联盟

   摘要
   目的：目前指南对慢性咳嗽患者推荐一个多学科系统的综合诊疗方法，在此过程中，随着新规程被用于评估和治疗，现在耳鼻喉科医生正扮演者越来越重要的角色。从考虑用手术治疗难治性慢性咳嗽。
   方法：我们展示了一例杓状软骨黏膜水肿导致喘鸣和咳嗽的罕见病例，病程8个月。这是一位15岁的青少年，因明显杓状软骨水肿导致阵发性咳嗽和喉喘鸣来我院急诊就诊，患者病情已显著影响其生活质量。患者通过喉清创术成功治疗。
   结果：在本病例中，我们观察到杓状黏膜明显水肿，可能使持续咳嗽恶性循环，喉部手术清可能打破这个循环以解决这个特殊临床症状。
   结论：这个病例的描述可能有助于医生对慢性难治性咳嗽罕见精选病例的诊断和治疗带来新的见解。

 

（刘国梁 审校）
IntJPediatrOtorhinolaryngol.2013Sep;77(9):1593-5.doi:10.1016/j.ijporl.2013.05.039. Epub 2013 Jul 13.


 

Management of a rare case of arytenoid mucosa oedema inducing stridor and cough.
 

De Corso E, Pandolfini M, Battista M, Della Marca G, Scarano E.
 

ABSTRACT
OBJECTIVE: Current guidelines recommend a multidisciplinary systematic integrated approach to patient with chronic cough in which nowadays otolaryngologists play an increasingly valuable role as new procedures are used for evaluation and treatment. Surgery has been never taken into consideration to treat refractory chronic cough.
METHOD: We present a rare case of arytenoid mucosa oedema inducing stridor and cough, lasting 8 months, that critically affected the quality of life of a 15-year-old adolescent arrived to our emergency department with prominent arytenoid oedema causing paroxysmal cough and laryngeal stridor and that was successfully treated by laryngeal debridement.
RESULTS: In this case report we observed that prominent swelling of arytenoid mucosa might sustain a vicious cycle of cough persistence and that laryngeal surgical debridement might interrupt it resolving the particular clinical condition.
CONCLUSION: The description of this case could be of some help for clinicians to draw new insight about diagnosis and therapy of rare selected cases of chronic refractory cough.
 

IntJPediatrOtorhinolaryngol.2013Sep;77(9):1593-5.doi:10.1016/j.ijporl.2013.05.039. Epub 2013 Jul 13.