小儿急性喉炎发病急剧伴不同程度呼吸困难,临床上要求准确和及时处理。两年来我们收治的50例患儿中,年龄最小3个月,最大11岁。其中Ⅰ～Ⅱ°呼吸困难者40例,占总数80％。由于幼儿喉腔狭小,喉软骨柔软,粘膜下淋巴管丰富,组织疏松,炎症后肿胀显著容易发生阻塞。加上小儿抵抗力较低。咳嗽功能差,不易将下呼吸道分泌物及时咳出更使呼吸困难加重的特点,我们的诊治体会是:①选用足量的抗生素和激素,对危重患儿应选用两种以上具有协同作用的抗生素。我们选用的为青霉素,氨基苄青霉素,头孢霉素,红霉素及氧氟沙星等。激素选用地塞米松。争取患儿症状在治疗后15～30min内减轻。②冬眠药物作为辅助治疗,对衰弱患儿应予以慎用。③对伴有心衰者应静注西地 Rapid onset of acute laryngitis in children with varying degrees of dyspnea, the clinical requirements of accurate and timely treatment. Of the 50 patients we treated in the past two years, the youngest was 3 months and the oldest was 11 years old. Of which Ⅰ ~ Ⅱ ° 40 cases of dyspnea, accounting for 80% of the total. Due to small children’s throat, laryngeal cartilage soft, rich in submucosal lymphatic vessels, loose tissue, post-inflammatory swelling was significantly prone to obstruction. Plus pediatric lower resistance. Cough dysfunction, not easy to lower respiratory secretions in time to make more cough worse dyspnea, our experience diagnosis and treatment are: ① selection of adequate antibiotics and hormones, should be used in critically ill children with two or more synergistic effect of antibiotics . We use penicillin, ampicillin, cephalosporins, erythromycin and ofloxacin and so on. Dexamethasone hormone use. Strive for children with symptoms in the treatment of 15 ~ 30min to reduce. ② hibernation drugs as adjuvant therapy, children with weakness should be used with caution. ③ with heart failure should be intravenous injection of the West