Acute laryngeal edema

Laryngeal edema is non-inflammatory and inflammatory nature. Non-inflammatory edema may be one of the symptoms of diseases of other organs (heart failure, a breach of the kidneys and other). Allergy is one of the reasons laryngeal edema. Inflammatory laryngeal edema develops because of the cold, mechanical, thermal, chemical and radiation injuries, infectious diseases (influenza, erysipelas and others), and can also be collateral origin (after angina, paratonsillitis, inflammation of the floor of mouth and other). Patients complain of discomfort in the throat when swallowing, presence in it like a foreign body, podergivani. The voice becomes dull shade. Swelling of the inner ring of the larynx, as a rule, there hoarseness, uncomfortable in phonation, feeling of pressure in the throat, coughing. In diagnosis of laryngeal edema plays a big role indirect (mirror) laryngoscope. Thus observed: nabuhnet, the tension of the mucous membrane of the larynx. Sometimes swollen epiglottis acquires vitreous character. If the stenosis is a typical phenomenon: indrawing jugular and supraclavicular pits, intercostal spaces and epigastric region, energetic work all the supporting muscles, inspiratory type of breath.
Emergency care. In all periods of the disease is necessary to take measures to hospitalization of the patient in Loratdaine. Of treatment measures in laryngeal edema appoint: bed rest, liquid diet, antibiotics, sulfa drugs, swallowing ice, hot foot bath, mustard to Ikram, oxygen inhalation, dehydration activities: intravenous infusion 10-20 ml glucose 10% solution of chloride calcium (10 ml), 5% solution of ascorbic acid (1 ml). Antihistamines - 2.5% solution of pipolfen (1-2 mg) or 2% solution suprastin intramuscularly in the gluteal region. In severe cases, injected 1-3 ml of an aqueous solution of prednisolone. With increase of stenosis proven tracheotomy.