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7/25/2019 Laringite Acute
1/1
III.LARINGITA DIFTERICA
Etiologie:Corynebacterium diphtheriae
Clinicdi!pnee laringiana progre!i"a precedata #$ %ile de o &a%a di!&onica '()&al!e membrane cenu!ii murdare pe C*
tu!e latratoare
"oce ragu!ita
!emne de into+icatie:paloare,tahicardie,t)$-/01 adenopatie cer"icala,miocardita,parali%ii n.cranieni
E"olutiecri%a de bradipnee in!piratorie cu tira2 !i corna2 a!&i+ie Tratament:antito+ina di&terica3traheotomie
ETI'L'GIA T4L(4RARIL'R RE56IRAT'RII LA N'4NA5C4T 5I C'6IL
I.Nn /7 %ile 8A9 !emiologie predominant in!piratorie
a. cu normali%are la de!chiderea gurii b.cu putin !au &ara modi&.la de!chiderea gurii c.nemodi&.la de!chiderea gurii rinita ob!tructi"a !indr.6ierre Robin decubitu! "entral mal&ormatie intubatie
impe&oratiae choanala)inter"entie la ; luni 8glo!opto%a,&anta palato intubatie na!oå. laringiana traheotomie
tumora endona%ala)neurochir. "elara9 traheotomie
8meningoence&alocel,teratom9
8(9!emiologie predominant e+piratorie
!teno%a traheala intubatie na!otraheala
tumora media!tinala inter"entie chirurgicala
II.Nn 7$/ %ile 8A9 %gomot "entilator "ariabil dupa debit 8(9 %gomot "entilator permanent
laringita !triduloa!a chi!t åian)punctie,e+ere%a chirurgicala
laringomalacie intubatie
parali%ie recurentiala inter"entie la < luni
III.5ugar < luni
angiom !ubglotic:!impt.de laringita !ubglotica care !ur"ine !ub < luni0hemangiom cutanat intubatie,traheotomiecompre!iune traheala endotoracica: !impt.laring. !ubglotica0contractura abdominala0bronhopneumopatie cr.recidi"anta chir
I*.Copil lacid in29
LARINGITELE CR'NICE
De&initie:in&lamatie cr.ne!peci&ica !i netumorala E6: HAYES-MARTIN?iritatia cr,iar natura ei contea%a mai putin@8no+e to+ice
clor,crom ac.!ul&uric,hidrocarburi,tutun,alcool,a&ectiuni rinoåiene,malmena2 "ocal9
A6hiperpla%ie Catarala cr 6!eudomi+omatoa!a ipertro&ica ro!ie ipertro&ica alba
metapla%ie cordita pahidermica placa de leu
cordita "erucoa!a copla%ie
edem0 edem &orma e+o&itica
cel.in&lamatorii e+udat hiperpla%ie metapla%ie
Clinic:ragu!eala,tu!e,hema2
Tratament: catarala cr,p!eudomi+omatoa!a)antib0corticoterapie0 aero!oli
hipertro&ice)decorticare8in laringo!copie !u!pendata90A6 0!upra"eghere la # luni 3A6)cancer inter"entie partiala
T4B'RI (ENIGNE
6'LI64L LARINGIAN
A6:hiperpla%ie con2uncti"oepiteliala cu a+ central "a!cular in %ona de turbiona2 "a!cular al C*
Clinic: 54()di!&onie,diplo&onie '()&ormatiune pediculata !au !e!ila,coloratie ro!ie !au "iolacee in 1$ ant a C*
Tratament:e+tirpare in laringo!copie !u!pendata0A6 la %ona de contact cu mucoa!a normala
6AIL'BAT'A LARINGIANA
A6:metapla%ie epiteliala
Clinic: 54( Co)di!&onie0in!u&icienta re!piratorie Ad)di!&onie '()&ormatiuni conopidi&orme de coloratie albro% Co)multiple
Ad)unica
E"olutie: Co)recidi"a3Ad)tra!&ormare maligna
Tratament:e+tirpare prin larigo!copie !u!pendata0A6 obligator la Ad madetraiang