喉痉挛

喉痉挛者采用指压双侧少商穴治疗后，1min内Sp（O2）上升超过90%，喉痉挛缓解，无一例需重新插管。

Sp ( O 2 ) of the patients with laryngospasm recovered to over 90 % within one min after pressing double Shaoshang points with thumb . Laryngospasm was catabatic and no one needed re-intubatton .

我们认为，该例患者的气道阻塞很可能是继发性喉痉挛，而不是喉头水肿。

We believe that this patient 's airway obstruction was likely secondary to laryngospasm rather than laryngeal edema .

肢体不自主运动、喉痉挛等不良反应较B组少（P<0.05）；

The incidence of body movement and larynx spasm was higher in group B ( P < 0.05 ) .

每组30例，分别观察两组患儿术中血压（Bp）、心率（HR）、血氧饱和度（SpO2）的变化，以及手术时间、苏醒时间、术中喉痉挛和术后恶心、呕吐发生率。

Respectively observe two groups Bp ? HR ? SpO_2 change in operation , operation time , revival time and incidence of laryngospasm in operation and nausea or vomiting after operation .

结果提示：TEE检查可引起多种并发症，其中包括恶心、呕吐、粘膜损伤出血、喉痉挛、下颌关节脱位、心绞痛、心律失常，甚至出现心室纤颤和死亡。

There were all different kinds of complication occurring during TEE examination concluding vomiting , minor mucus bleeding , laryngospasm , mandibular dislocation , angina pectoris , arrhythmia , even ventricular fibrillation and death .

患儿均于停麻醉药30min内清醒，睁眼，吞咽反射、自主呼吸恢复良好，吸空气时SPO2维持在93%以上，拔管后均未发生喉痉挛及喉头水肿，术后也未发生缺氧。

The children recovered consciousness in 30 minutes after operation . Eye movement , swallow reflex and spontaneous breath were all normal , with the SPO_2 above 93 % without oxygen inhalation . There were no laryngic spasm , edema and anoxia occurred in all cases after detubation .

临床表现为易惊、睡眠不安、夜哭、四肢震颤、头向后仰、背肌紧张、面部抽搐，严重者出现喉痉挛。

Night crying , tremor , hypsokinesis and facial or glottic spasm .

7例急性喉痉挛原因分析

Causes of Acute Laryngismus in 7 Patients

结论指压疗法切按少商穴可以预防和治疗小儿气管拔管后喉痉挛的发生。

Conclusion Pressing Shaoshang point with thumb can prevent and treat laryngospasm children after trachea extubation .

指压少商穴对小儿气管拔管后喉痉挛的防治作用

Preventing and treating effect of pressing Shaoshang point with thumb on laryngospasm children after trachea extubation

目的观察指压少商穴对小儿气管拔管后喉痉挛的预防和治疗作用。

Objective It is to observe the preventing and treating effect of pressing Shaoshang point with thumb on laryngospasm children after trachea extubation .

喉呼气流率明显减少。结论痉挛性发音障碍伴随着紧张性发音的同时声带或整个喉强烈内收痉挛，同时伴有呼气流率下降，典型病例可看到喉肌电的改变。

Conclusion Spasmodic dysphonia demonstrates tonic dysphonia , as well as overadduction and spasm of the whole larynx , decreasing of expiratory flow and electromyography change for typical cases .