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喉麻痹是新生儿呼吸困难或喉鸣的一个极常见原因,但有关治疗的文献资料却很少。作者们回顾6年中108例新生儿喉麻痹,根据不同的病因,研究疾病的演变,从而作出了适当的治疗措施。一、双侧麻痹计49例。(一)伴其它神经病变者有22例(45%):①中枢病变14例,其中轴性张力减退7例,伴锥体征象的张力过度4例,脑积水、脑脑膜膨出及小头畸形各1例。②外周神经损害8例,其中侵犯Ⅺ、Ⅶ+Ⅻ、Ⅴ+Ⅶ、Ⅻ及双侧Ⅶ各1例,遗传性外周神经炎3例。中枢病变14例中有3例是剖腹产的结果,1例产钳后并发大脑缺氧和新生儿假死。(二)自发性麻痹21例(43%)。所谓自发性麻痹是单一的麻痹,
Larynx paralysis is a very common cause of dyspnoea or larynx in the newborn, but there is little literature on treatment. The authors reviewed 108 cases of neonatal laryngeal paralysis in 6 years, according to different causes, study the evolution of the disease, and thus made the appropriate treatment. First, 49 cases of bilateral paralysis. (1) There were 22 cases (45%) with other neuropathy: ① central lesion in 14 cases, of which axial tension decreased in 7 cases, accompanied by pyramidal signs of excessive tension in 4 cases, hydrocephalus, meningocele and small 1 case of head deformity. ② peripheral nerve damage in 8 cases, of which Ⅺ, Ⅶ + Ⅻ, Ⅴ + Ⅶ, Ⅻ and bilateral Ⅶ in 1 case, 3 cases of hereditary peripheral neuritis. Central lesions in 14 cases, 3 cases were the result of caesarean section, 1 case of forceps complicated by cerebral hypoxia and neonatal death. (B) 21 cases of spontaneous paralysis (43%). The so-called spontaneous paralysis is a single paralysis,