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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >A Rare Cause of Extremely Loud Expiratory Stridor in a 11-Year-Old Patient
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A Rare Cause of Extremely Loud Expiratory Stridor in a 11-Year-Old Patient

机译：11岁患者中极度响亮的呼气前沿的罕见原因

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Stridor can be a very alarming symptom in children, as it is typically caused by turbulent airflow through a partially obstructed airway, due to an organic cause. An abnormal respiratory sound can induce the suspicion of a life-threatening clinical condition and requires an immediate diagnostic assessment. The aim of this article is to describe a very peculiar case of loud expiratory stridor, with an abrupt onset and no other associated symptoms, occurring in an 11-year-old girl. The stridor sounds ceased only during sleep at night. Videolaryngoscopy demonstrated that the anatomy and patency of the larynx were normal, and expiratory noise was generated by vibration of the supraglottic structures. Voice therapy led to remission of stridor within 3 weeks. To the best of our knowledge, this is the first reported case of expiratory stridor with such striking volume and characteristics related to psychological causes. This peculiar clinical condition needs to be taken into consideration in the differential diagnosis of pediatric stridor to avoid unnecessary and invasive procedures and treatments.Laryngoscope, 2020
机译：喘鸣在儿童中可能是一种非常令人担忧的症状，因为它通常是由通过部分阻塞的气道的湍流气流引起的，这是由器质性原因引起的。异常呼吸音可引起对危及生命的临床症状的怀疑，需要立即进行诊断评估。这篇文章的目的是描述一个11岁女孩发生的非常特殊的大声呼气喘鸣，突然发作，没有其他相关症状。只有在晚上睡觉时，响声才会停止。电视喉镜检查显示喉的解剖结构和通畅性正常，呼气噪声是由声门上结构的振动产生的。语音治疗导致3周内stridor症状缓解。据我们所知，这是第一例报告的呼气性喘鸣，其音量和特征与心理原因有关。这种特殊的临床情况需要在小儿喘鸣的鉴别诊断中加以考虑，以避免不必要的侵入性手术和治疗。喉镜，2020年

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