Throat hypostasis

Description:

Hypostasis of a throat (oedema laryngis) - quickly developing vasculomotor and allergic edematous process in a mucous membrane of a throat narrowing it a gleam; as a rule, is secondary display of any disease of a throat, but not an independent nosological form.

Throat Hypostasis symptoms:

Narrowing of a gleam of a throat and trachea can immediately develop (a foreign body, a spasm), sharply (infectious diseases, allergic processes, etc.) and chronically (against the background of a tumor). The clinical picture depends on extent of narrowing of a gleam of a throat and speed of its development: than quicker the stenosis develops, it is more dangerous by that. At an inflammatory etiology of hypostasis the pharyngalgias amplifying when swallowing, feeling of a foreign body, change of a voice disturb. Spread of hypostasis on a mucous membrane of arytenoid cartilages, cherpalonadgortanny folds and podskladkovy space promotes emergence of an acute stenosis of a throat that causes a heavy picture of suffocation, the life-threatening patient.

At a laringoskopichesky research puffiness of a mucous membrane of the struck department of a throat in the form of a watery or jellylike swelling is defined. The epiglottis at the same time is sharply thickened; there can be hyperemia elements, process extends to area of arytenoid cartilages. The glottis at hypostasis of a mucous membrane is sharply narrowed, in subvoice space hypostasis looks as bilateral subauriculate protrusion.

Throat Hypostasis reasons:

Can be the reasons of acute hypostasis of a throat:

    * inflammatory processes of a throat (subdepository laryngitis, an acute laryngotracheobronchitis, hondroperikhondrit, etc.);
    * acute infectious diseases (diphtheria, measles, scarlet fever, flu, etc.);
    * throat tumors (high-quality, malignant);
    * throat injuries (mechanical, chemical);
    * allergic diseases;
    * pathological processes next to a throat and trachea of bodies (tumors of a mediastinum, gullet, thyroid gland, retropharyngeal abscess, neck phlegmon, etc.).

Treatment of Hypostasis of a throat:

Treatment is carried out in the conditions of a hospital and is directed first of all to recovery of external respiration. Depending on expressiveness of clinical manifestations conservative and surgical methods of treatment are used.

Conservative methods are shown at the compensated and subcompensated stage of narrowing of respiratory tracts and include appointments:

    * antibiotics of a broad spectrum of activity parenterally (cephalosporins, semi-synthetic penicillin, macroleads, etc.);
    * antihistaminic drugs (solution of 0,25% of Pipolphenum in oil, tavegil, etc.);
    * corticosteroid therapy (solution of a hydrocortisone, Prednisolonum of 3% - to 120 mg. in oil); introduction of a gluconate of calcium of 10% - 10 ml in oil, glucose of 40% — 20 ml along with 5 ml of askorbiknovy acid is recommended in/in;
    * dehydrational means (furosemide (lasixum) of 20-40 mg. in oil or in/in; буметанид 1-2 mg. in/in; hypothiazid, таб; верошпирон, таб; and др)

Co-administration of the drugs containing antihistaminic, corticosteroid and dehydrational drugs (parenterally or intravenously), is effectively eliminated by signs of an acute stenosis and improve breath - a medicamentous destenozirovaniye.

If hypostasis is strongly expressed and there is no positive dynamics, the dose of the administered corticosteroid drugs can be increased. More bystry effect gives intravenous administration of 200 ml. isotonic solution of sodium chloride with addition of 90 mg. Prednisolonum, 10 ml. 10% of Calcium chloratum, lasixum.

Lack of effect of conservative treatment, emergence of a dekompensirovanny stenosis demand an immediate tracheostomy. At asphyxia the emergency konikotomiya, and then, after recovery of external respiration is made, make a tracheostomy.

From the general actions liquid reception restriction, the sparing voice mode, restriction of an exercise stress is recommended.