아동간호학 A+케이스 스터디 Acute obstructive laryngitis(croup)
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아동간호학 A+케이스 스터디 Acute obstructive laryngitis(croup)
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2023.09.10
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  • 1. Acute Obstructive laryngitis (croup)
    크룹(croup)은 흡기성 협착음과 쇳소리나 컹컹거리는 거친 기침, 쉰목소리, 다양한 정도의 호흡곤란으로 특징되는 증후군입니다. 크룹의 주요 형태에는 급성 발작성 쿠룹과 후두기관기관지염, 박테리아성 기관염과 후두개염이 있습니다. 후두개염은 그룹의 한 형태이지만 독특한 증상과 치료법을 가진 세균성 감염이기 때문에 분리하여 논의합니다. 생후 6개월에서 만 3세 사이에서 가장 흔하고, 10월부터 3월까지, 즉 가을, 겨울과 초봄에 많이 발생합니다. 대부분 심각한 상태로 진행되는 경우 없이 감기처럼 앓고 5~6일정도 지나면 회복되지만, 흔치 않게 심한 경우 입원이 필요합니다.
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  • 1. Acute Obstructive laryngitis (croup)
    Acute obstructive laryngitis, commonly known as croup, is a respiratory condition that primarily affects young children, typically between the ages of 6 months and 3 years. It is characterized by a distinctive barking cough, hoarseness, and difficulty breathing, often accompanied by stridor, a high-pitched wheezing sound during inhalation. The primary cause of croup is a viral infection, most commonly the parainfluenza virus, which leads to inflammation and swelling of the larynx (voice box), trachea (windpipe), and bronchi (airways). This swelling narrows the airway, making it more difficult for the child to breathe. The symptoms of croup can range from mild to severe, and in some cases, the obstruction can become life-threatening. Mild cases may be managed at home with humidified air, rest, and over-the-counter medications to reduce fever and discomfort. However, in more severe cases, medical intervention may be necessary, including the use of corticosteroids to reduce inflammation and, in extreme situations, intubation to maintain an open airway. It is important for parents and caregivers to be aware of the signs and symptoms of croup and to seek medical attention promptly if the child's breathing becomes labored or distressed. Early recognition and appropriate treatment can help prevent complications and ensure the child's well-being. Additionally, preventive measures, such as good hand hygiene and avoiding exposure to sick individuals, can help reduce the risk of developing croup.
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