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婴幼儿及儿童声带麻痹42例病因分析

The Causes of Vocal Cord Paralysis in 42 Infants and Children

尹德佩;窦训武;徐秋琴;朱慧娥;樊明月;刘亮;杨素娜;张海港;

1:苏州大学附属儿童医院耳鼻咽喉头颈外科

2:苏州大学附属儿童医院心内科

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摘要

目的分析婴幼儿和儿童声带麻痹的病因。方法回顾性分析42例声带麻痹患儿的临床资料,分析其年龄、声带麻痹的侧别、临床表现及病因。结果42例声带麻痹患儿中,左侧35例(83.33%),右侧4例(9.52%),双侧3例(7.14%)。其中1岁以下患儿31例(73.81%),1～<3岁4例(9.52%),3～<6岁4例(9.52%),6～10岁3例(7.14%)。1岁以下31例中13例(41.90%)合并先天性心脏病,2例(6.45%)与胸外科手术相关,1例诊断为Arnold-chiari综合征,其余15例(48.39%)原因不明;1～<3岁4例中2例与长春新碱化疗相关,1例发生于动脉导管未闭行介入封堵术后,1例原因不明;3～<6岁4例患儿中2例伴先天性心脏病,1例与长春新碱化疗相关,1例为球麻痹;6～10岁3例患儿中2例为脑肿瘤侵犯颈静脉孔区,1例原因不明。结论婴幼儿及儿童声带麻痹的病因与成人不同,小于1岁的声带麻痹患者,病因应首先考虑先天性心脏病;大龄儿童应注意是否存在颅内占位病变;对于血液病化疗后的声带麻痹小儿患者,需着重鉴别长春新碱引起的周围神经炎。

关键词

婴幼儿;儿童;声带麻痹;病因

基金项目(Foundation):

作者

尹德佩;窦训武;徐秋琴;朱慧娥;樊明月;刘亮;杨素娜;张海港;

参考文献

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