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Acute laryngitis. Features of the clinic and treatment tactics for sub-laryngitis
Acute catarrhal laryngitis
It is most often observed in acute catarrh of the upper respiratory tract. The main role in the etiology of this disease is played by local, and partly general hypothermia of the body. A predisposing point is often mechanical irritation, for example, overstrain of the voice, sometimes the abuse of smoking and alcohol.
Clinic: the main symptoms at the onset of the disease are soreness, scratching, tickling, sore, burning, dry throat. Soon, and sometimes simultaneously hoarseness or aphonia develops, a cough appears, accompanied by a feeling of dryness, soreness in the throat. Sparse, difficult to expectorate sputum, gradually becomes more plentiful and easily expectorated, which significantly improves the well-being of patients. Body temperature is usually normal, less often subfebrile. When laryngoscopy is detected hyperemia, and sometimes swelling of the mucous membrane of the larynx, especially in the area of the true vocal folds. When phonation is often not observed complete closure of the vocal folds due to weakness
Treatment consists in eliminating the harmful moments associated with the onset of the disease. The patient is recommended to observe the vocal mode, inhalation of penicillin aerosols (200,000 units in a 2% solution of ephedrine), then alkaline inhalation (2% solution of drinking soda with the addition of 2-3 drops of menthol oil) 2-3 times a day. Prescribing soothing semi-alcohol compresses on the neck, mustard plasters on the chest and back, UHF on the larynx area, infusion of indifferent vegetable oils (peach, apricot, olive, etc.) into the larynx.
Subclavicular laryngitis, or false croup, is characterized by the predominant localization of the inflammatory process in the subclavian space, the onset of laryngospasms and swelling of the mucous membrane and loose submucous tissue in the lining of the larynx, especially in children 6-7 years old, in which the false croup is mainly found.
As a rule, children with exudative diathesis are susceptible to the disease. It is often combined with allergic rhinitis, bronchial asthma and other allergic manifestations.
Clinic: anxiety attacks in a child waking up at night. Shortness of breath, cyanosis of the lips, barking cough. If breathing is difficult, jugular fossa is involved. Epigastric region and intercostal spaces. The attack usually lasts several minutes, sometimes up to half an hour. The child's condition is satisfactory, body temperature is normal. When laryngoscopy under unchanged true vocal folds visible red ridges formed by hyperemic and edematous mucosa.
Treatment. Bed rest, fresh and moist air in the room, distracting therapy in the form of mustard plasters or cans on the chest and back, hot foot baths. Drink plenty of hot milk, mineral water. To suppress laryngospasm, it is advisable to induce a vomiting reflex (touching the back wall of the pharynx with a spatula). Prescribe antibiotics, calcium gluconate, hyposensitizing agents. In case of allergic stenosis of the larynx, intramuscularly a solution of prednisone. With threatening symptoms, in the stage of decompensation, a tracheostomy is indicated.
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Acute laryngitis. Features of the clinic and treatment tactics for sub-laryngitis
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