急性会厌炎120例临床分析

Clinical analysis of 120 cases of acute epiglottitis

目的探讨急性会厌炎的临床特点、诊断及治疗措施。方法回顾性分析我科2008年2月～2009年12月收治的120例急性会厌炎患者的临床资料。其中男65例,女55例,年龄21～75岁。结果本组120例均有咽痛,伴呼吸困难18例,会厌舌面粘膜均有不同程度的充血水肿,其中发生会厌脓肿2例,因喉阻塞而行气管切开3例。全部患者治疗后均获得痊愈。结论绝大多数急性会厌炎患者可通过保守治疗得以痊愈。对主诉咽痛的患者均应行间接喉镜检查以避免遗漏急性会厌炎,密切观察病情变化,必要时行气管切开术以维持呼吸道通畅。

Objective To investigate the clinical features , diagnosis and therapeutic methods of acute epiglottitis. Methods Clinical data of 120cases which were treated in our department from Feburary 2008 to December 2009 were retrospectively analyzed. There were 65 males and 55 females,ranging in age from 21 to 75 years old. Results In this group of 120 cases,all were accompanied with the symptom of pharyngodynia, 18 with dyspnea. Furthermore,2 cases were seen with abscess in epiglottis and 3 were operated on with tracheotomy because of laryngeal obstruction. All the patients recovered. Conclusion Most patients with acute epiglottitis can be cured by conservative treatment. The chief complaint of sore throat patients should undergo indirect laryngoscopy to avoid missing diagnosis of acute epiglottitis, and closely observe the condition changes. However, if necessary, tracheotomy should be operated to maintain the airway.