新生儿、婴儿或儿童的双侧或单侧声带麻痹不甚常见,多由于同时伴有其他系统的先天异常,并可危及生命,故临床上小儿声带麻痹的问题常被忽视。小儿声带麻痹的诊断和处理方面目前还存在许多问题。作者强调,凡新生儿、婴儿或儿童出现呼吸道堵塞、饮食困难、吞咽不正常、哭声变弱、失声、或已明确有食管、心脏或中枢神经系统不正常的小儿,都应疑有声带麻痹。声带麻痹可影响小儿正常发声、呼吸和吞咽功能。单侧声带麻痹的小儿哭声变弱或呈呼吸音,两侧声带麻痹的哭声可表现正常,易被误认为声带活动正常,但小儿紧张时可产生严重的呼吸道堵塞。喘鸣亦是常 Bilateral or unilateral vocal cord paralysis is uncommon in newborns, infants or children. Clinically, the problem of vocal cord paralysis in children is often overlooked because of congenital anomalies associated with other systems, which can be life-threatening. There are still many problems in the diagnosis and treatment of vocal cord paralysis in children. The authors emphasize that any newborn, infants or children with respiratory blockages, eating difficulties, swallowing abnormalities, crying weakened, aphasia, or have been clearly esophageal, cardiac or central nervous system disorders in children suspected of vocal cord paralysis . Vocal cord paralysis can affect children’s normal vocalization, breathing and swallowing function. Unilateral vocal cord paralysis in children with weakened or cries of crying, vocal cord paralysis on both sides of the cries of normal performance, easily mistaken for normal vocal cord activity, but children can cause serious tension when the air blockage. Wheezing is also common