クループ症候群
WordNet
- a pattern of symptoms indicative of some disease
- a complex of concurrent things; "every word has a syndrome of meanings"
- a disease of infants and young children; harsh coughing and hoarseness and fever and difficult breathing (同)spasmodic laryngitis
PrepTutorEJDIC
- (疾患の徴候となる一群の)症徴候,症候群 / (事件・社会的状態などのパターンを示す)徴候形態
- クループ(せきや呼吸困難を伴う小児病)
- (馬の)しり
UpToDate Contents
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English Journal
- Weather factors associated with paediatric croup presentations to an Australian emergency department.
- Atkinson PR, Boyle AA, Lennon RS.Author information Department of Emergency Medicine, Dalhousie University, Saint John Regional Hospital, , Saint John, New Brunswick, Canada.AbstractWe examined if croup presentations to the emergency department (ED) were associated with weather changes in a warm temperate climate. We collected data on all 729 cases with an ED discharge or admission diagnosis of croup over a 798 day time period. We obtained detailed climatic records from the New South Wales Meteorological Office for the same time period. Only one daily variable, ground temperature at 9:00, was significantly associated with the number of croup attendances (linear regression -0.2062; 95% CI -0.272 to -0.138). There was a stronger correlation (-0.426; 95% CI -0.684 to -0.072) between the calculated mean monthly temperature and the monthly number of croup admissions. Even in this milder climate, croup is associated with cooler weather. We are unable to conclude that hospital attendances for croup are caused by changes in temperature alone, as other factors such as the prevalence of viral illness also follow a seasonal, and therefore, temperature-related pattern.
- Emergency medicine journal : EMJ.Emerg Med J.2014 Feb;31(2):160-2. doi: 10.1136/emermed-2012-201876. Epub 2013 Apr 4.
- We examined if croup presentations to the emergency department (ED) were associated with weather changes in a warm temperate climate. We collected data on all 729 cases with an ED discharge or admission diagnosis of croup over a 798 day time period. We obtained detailed climatic records from the New
- PMID 23558151
- Going with the flow: respiratory care in the pediatric emergency department.
- Canares TL1, Tucker C1, Garro A2.Author information 1affiliated with Hasbro Children's Hospital/The Warren Alpert Medical School of Brown University, Providence, RI.2Assistant Professor, The Warren Alpert Medical School of Brown University, and Pediatric Emergency Medicine Attending, Hasbro Children's Hospital, Providence, RI.AbstractProviders in pediatric emergency departments (ED) frequently encounter a variety of life-threatening respiratory illnesses. This article reviews current updates on the management and unique adjuncts for 3 common respiratory illnesses. Discussed first is bronchiolitis and the impact of high flow nasal cannula on reducing the need for intubation. Next, the current therapy for croup and the adjunctive use of Heliox and finally, the ED approach to asthma and treatment with breath actuated nebulizers. [Full text available at http://rimed.org/rimedicaljournal-2014-01.asp, free with no login].
- Rhode Island medical journal (2013).R I Med J (2013).2014 Jan 3;97(1):23-6.
- Providers in pediatric emergency departments (ED) frequently encounter a variety of life-threatening respiratory illnesses. This article reviews current updates on the management and unique adjuncts for 3 common respiratory illnesses. Discussed first is bronchiolitis and the impact of high flow nasa
- PMID 24400308
- Treatment of severe porcine tracheomalacia with a 3-dimensionally printed, bioresorbable, external airway splint.
- Zopf DA1, Flanagan CL2, Wheeler M3, Hollister SJ2, Green GE1.Author information 1Division of Pediatric Otolaryngology, Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor.2Departments of Biomedical Engineering, Mechanical Engineering, and Surgery, University of Michigan, Ann Arbor.3Institute for Genomic Biology and Department of Animal Sciences, University of Illinois, Urbana-Champaign.AbstractIMPORTANCE The study demonstrates use of a novel intervention for severe tracheobronchomalacia (TBM). OBJECTIVE To test a novel, 3-dimensionally (3D) printed, bioresorbable airway splint for efficacy in extending survival in a porcine model of severe, life-threatening TBM. DESIGN AND PARTICIPANTS A randomized, prospective animal trial was used to evaluate an external airway splint as treatment of severe, life-threatening TBM in a multi-institutional, multidisciplinary collaboration between a biomedical engineering department and an academic animal surgery center. Six 2-month-old Yorkshire pigs underwent tracheal cartilage division and inner tracheal lumen dissociation and were randomly assigned to splint treatment (n = 3) or control groups (n = 3). Two additional pigs had the splint placed over their normal trachea. INTERVENTIONS A 3D-printed, bioresorbable airway splint was assessed in a porcine animal model of life-threatening TBM. The open-cylindrical, bellow-shaped, porous polycaprolactone splint was placed externally and designed to suspend the underlying collapsed airway. Two additional animals were splinted without model creation. MAIN OUTCOMES AND MEASURES The observer-based Westley Clinical Croup Scale was used to assess the clinical condition of animals postoperatively. Animal survival time was noted. RESULTS Complete or nearly complete tracheal lumen collapse was observed in each animal, with resolution of symptoms in all of the experimental animals after splint placement. Using our severe TBM animal model, survival was significantly longer in the experimental group receiving the airway splint after model creation than in the control group (P = .0495). CONCLUSIONS AND RELEVANCE A multidisciplinary effort producing a computer-aided designed, computer-aided manufactured bioresorbable tracheobronchial splint was tested in a porcine model of severe TBM and was found to extend survival time. Mortality in the splinted group was ascribed to the TBM model based on the lack of respiratory distress in splinted pigs, long-term survival in animals implanted with the splint without TBM, and necropsy findings.
- JAMA otolaryngology-- head & neck surgery.JAMA Otolaryngol Head Neck Surg.2014 Jan 1;140(1):66-71. doi: 10.1001/jamaoto.2013.5644.
- IMPORTANCE The study demonstrates use of a novel intervention for severe tracheobronchomalacia (TBM). OBJECTIVE To test a novel, 3-dimensionally (3D) printed, bioresorbable airway splint for efficacy in extending survival in a porcine model of severe, life-threatening TBM. DESIGN AND PARTICIPANTS A
- PMID 24232078
Japanese Journal
- クループ症候群,RSウイルス性細気管支炎 (特集 当直でよくみる症候・疾患ABC) -- (おもな疾患の診断と初期対応)
- 臨床研究・症例報告 クループ症候群におけるDexamethasone単回静注後のrebound発熱
Related Links
- List of 6 disease causes of Croup syndrome, patient stories, diagnostic guides. Diagnostic checklist, medical tests, doctor questions, and related signs or symptoms for Croup syndrome. ... Croup syndrome: Introduction Croup ...
- Here you can read posts from all over the web from people who wrote about Croup and Down Syndrome, and check the relations between Croup and Down Syndrome ... 3rd day. They have had a cold for literally 5 weeks, ...infection ...
★リンクテーブル★
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- 英
- croup syndrome
- 関
- クループ、百日咳菌
- SPE.388
- 声門下や喉頭周囲の炎症、腫脹による上気道閉塞性疾患。
- 冬期に乳幼児に好発
- 病原体はほとんどがウイルスであり、パラインフルエンザウイルス、RSウイルス、インフルエンザウイルスなどが原因となる。
- 感冒症状(発熱、咽頭痛)～嗄声・犬吠様咳嗽～吸気性喘鳴・呼吸困難～陥没呼吸・チアノーゼ・不穏
- 喉頭鏡で声門下部～気管上部の浮腫性変化と狭窄を認める。
治療
- SPE.388 YN.I-45
- 安静、加湿、酸素吸入
- 狭窄に対してアドレナリン＋ステロイド吸入
- 細菌感染が認められれば抗菌薬。
国試
参考
- http://doktermudatrader.blogspot.com/2010/06/croup-in-children.html
- Knutson D, Aring A.SourceDepartment of Family Medicine, Ohio State University College of Medicine and Public Health, Columbus, Ohio 43201, USA. knutson.1@osu.edu
- American family physician.Am Fam Physician.2004 Feb 1;69(3):535-40.
- Viral croup is the most common form of airway obstruction in children six months to six years of age. The frightening nature of croup often prompts parents and caregivers to seek physician consultation. For children with mild croup, symptomatic care and mist therapy may be all that is necessary. Epi
- PMID 14971835
- http://www.aafp.org/afp/2004/0201/p535.html
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